A case-control study of robot-assisted type III radical hysterectomy with pelvic lymph node dissection compared with open radical hysterectomy

Am J Obstet Gynecol. 2008 Oct;199(4):357.e1-7. doi: 10.1016/j.ajog.2008.06.058.


Objective: The purpose of this study was to compare robotically assisted hysterectomy (RAH) with open (ORH) type III radical hysterectomy in the treatment of early-stage cervical cancer.

Study design: The outcomes of 51 consecutive patients who underwent RAH were compared with the outcomes of 49 patients who underwent ORH.

Results: There were no differences with regard to patient demographics. There were significant differences between the groups with regard to operative blood loss (P < .0001), operative time (P = .0002), and lymph node retrieval (P = .0003), all of which were in favor of the RAH cohort. All patients with RAH were discharged on postoperative day 1, compared with a 3.2-day average hospitalization for the cohort with ORH. The incidence of postoperative complications was 7.8% and 16.3% for the RAH and ORH cohorts, respectively (P = .35).

Conclusion: Robotic type III radical hysterectomy with pelvic node dissection is feasible and may be preferable over open radical hysterectomy in patients with early-stage cervical cancer. Further study will determine procedure generalizability and long-term oncologic outcomes.

Publication types

  • Comparative Study

MeSH terms

  • Adenocarcinoma / surgery
  • Adult
  • Carcinoma, Squamous Cell / surgery
  • Case-Control Studies
  • Female
  • Humans
  • Hysterectomy / methods*
  • Lymph Node Excision*
  • Pregnancy
  • Robotics*
  • Treatment Outcome
  • Uterine Cervical Neoplasms / surgery*