{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T10:53:59Z","timestamp":1761562439885,"version":"3.40.5"},"reference-count":21,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2018,11,13]],"date-time":"2018-11-13T00:00:00Z","timestamp":1542067200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2019,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Our hospital adopted laparoscopic surgery for early\u2010stage cervical cancer in August 1998, with robot\u2010assisted surgery implemented in October 2013. This study aimed to compare short\u2010term outcomes for conventional laparoscopic radical hysterectomy (LRH) and robot\u2010assisted radical hysterectomy (RARH) and assess the technical feasibility of RARH for early\u2010stage cervical cancer.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We retrospectively compared operative time, blood loss, number of resected lymph nodes, length of postoperative hospital stay, rate of positive vaginal margin and perioperative complications between two groups of 121 patients (LRH group, <jats:italic>n<\/jats:italic>\u2009=\u200957; RARH group, <jats:italic>n<\/jats:italic>\u2009=\u200964) with stage IA2 to IIB, among 164 patients who underwent endoscopic radical hysterectomy for early\u2010stage cervical cancer performed between January 2010 and December 2017 by an expert surgeon, excluding cases of para\u2010aortic lymphadenectomy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>No differences in patient background, in terms of age and body mass index, were identified. For the LRH\/RARH groups (mean\u2009\u00b1\u2009standard deviation), results obtained were as follows: operative time, 211\u2009\u00b1\u200938\/280\u2009\u00b1\u200959\u2009min (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.01); blood loss, 219\u2009\u00b1\u2009114\/370\u2009\u00b1\u2009231\u2009mL (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.01); number of resected lymph nodes, 38.5\u2009\u00b1\u200915.9\/50.2\u2009\u00b1\u200918.2 (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.01); length of postoperative hospital stay, 11.6\u2009\u00b1\u20093.3\/11.3\u2009\u00b1\u20094.8\u2009days (<jats:italic>P<\/jats:italic>\u2009=\u20090.67); and perioperative complications with Clavien\u2010Dindo classification of grade III or higher, 1.8\/7.8% (<jats:italic>P<\/jats:italic>\u2009=\u20090.13).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The operative time was significantly longer and blood loss greater in the RARH than LRH group. A greater number of lymph nodes were removed in the RARH group. However, these differences seem to be within a clinically acceptable range, showing that RARH is as feasible and safe as LRH in terms of short\u2010term outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jog.13858","type":"journal-article","created":{"date-parts":[[2018,11,14]],"date-time":"2018-11-14T04:41:03Z","timestamp":1542170463000},"page":"405-411","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Short\u2010term outcomes of robotic\u2010assisted versus conventional laparoscopic radical hysterectomy for early\u2010stage cervical cancer: A single\u2010center study"],"prefix":"10.1111","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4385-4260","authenticated-orcid":false,"given":"Keisuke","family":"Oyama","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Kurashiki Medical Center  Okayama 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