Robot assisted/A laparoscopic radical hysterectomy


A laparoscopic or robot-assisted radical hysterectomy offers patients a minimally invasive surgical approach, performed with precision and expertise to address complex gynecological conditions. Led by skilled surgeons, such as Dr. Vikrant, this advanced procedure prioritizes patient comfort and quicker recovery

A laparoscopic / Robot assisted radical hysterectomy is a surgical procedure primarily used to treat early-stage cervical cancer or endometrial cancer. It involves removing the uterus, cervix, ovaries, part of the vagina, surrounding tissues and nearby lymph nodes. This procedure is less invasive than traditional open surgery, offering benefits such as quicker recovery times and reduced postoperative pain. Here’s an overview of the indications and technique:


  1. Early-stage cervical cancer: Laparoscopic radical hysterectomy is commonly recommended for stage IA2 to IIA cervical cancer or till stage 3 endometrial cancer.
  2. Precancerous conditions: In some cases of severe cervical dysplasia (pre-cancerous changes in cervical cells), a radical hysterectomy may be recommended to prevent the progression to cervical cancer.
  3. Small cervical tumors: For select cases of small cervical tumors, laparoscopic radical hysterectomy may be a treatment option.


  1. Preoperative Evaluation: Before the procedure, the patient undergoes a thorough evaluation, including imaging studies (such as MRI or CT scans) to assess the extent of the cancer and determine if laparoscopic surgery is appropriate.
  2. Anesthesia: The patient is placed under general anesthesia to ensure they are unconscious and pain-free throughout the surgery.
  3. Port Placement: Several small incisions (ports) are made in the abdomen, typically around the belly button and lower abdomen. These ports allow the surgeon to insert laparoscopic instruments and a camera (laparoscope) into the abdomen.
  4. Insufflation: Carbon dioxide gas is pumped into the abdomen to create space and improve visibility for the surgeon.
  5. Dissection and Mobilization: Using specialized instruments, the surgeon carefully separates the uterus, cervix, and surrounding tissues from the pelvic wall and adjacent structures. The blood vessels supplying these structures are carefully identified and either tied off or sealed to minimize bleeding.
  6. Lymph Node Dissection: The surgeon may also perform a lymph node dissection to remove lymph nodes from the pelvic area. This helps determine if the cancer has spread beyond the cervix and aids in staging.
  7. Specimen Removal: Once the necessary tissues are dissected and removed, they are placed in a specimen bag and extracted through one of the abdominal ports.
  8. Closure: The remaining tissues are carefully inspected for any bleeding, and the incisions are closed with sutures or surgical staples.
  9. Postoperative Care: After the procedure, the patient is monitored closely in the recovery room and typically spends a few days in the hospital for observation. Pain management, physical activity, and other postoperative instructions are provided to promote healing and recovery.
Midsagittal section of female pelvis showing laparoscopy.

Laparoscopic / Robot assisted radical hysterectomy is a complex procedure that requires expertise in minimally invasive surgery and gynecologic oncology. It offers several advantages over traditional open surgery, including shorter hospital stays, faster recovery times, and reduced postoperative pain. However, not all patients are candidates for this approach, and the decision to undergo laparoscopic radical hysterectomy should be made in consultation with a gynecologic oncologist based on individual circumstances and disease characteristics.

We at Meenakshi hospital have experience of around 400 successful laparoscopic radical hysterectomies in past 10 years.

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Most popular and trending Questions

How does robotic surgery compare to traditional (open) surgery and laparoscopic surgery?

Robotic surgery offers advantages over traditional open surgery and laparoscopic surgery by providing enhanced precision, dexterity, and visualization, while also reducing incision size and patient recovery time

The benefits of robotic surgery include improved surgical outcomes, reduced pain and scarring, shorter hospital stays, and quicker recovery. However, there are potential risks such as longer operating times, costs, and technical limitations

Robotic technology can be used for a wide range of surgical procedures across various specialties, including urology, gynecology, general surgery, and cardiothoracic surgery

Robotic surgery enhances precision by offering 3D visualization, wristed instruments that mimic hand movements, and tremor filtration, while also minimizing invasiveness through smaller incisions

Surgeons undergo specialized training and certification to perform robotic procedures, which includes simulation training, proctoring, and hands-on experience under supervision

Robotic surgery can lead to shorter hospital stays, reduced pain, faster recovery, and improved cosmetic outcomes for patients, resulting in overall better outcomes compared to traditional surgery

The cost of robotic surgery includes expenses related to equipment, maintenance, and training, which may be higher than traditional surgical approaches. However, the potential benefits may outweigh the costs in terms of improved outcomes and reduced complications

Advancements in robotic surgical technology include improved imaging capabilities, ergonomic enhancements for surgeons, integration with artificial intelligence, and miniaturization of robotic platforms

Challenges in robotic surgery include high costs, limited availability in some regions, technical complexities, and the need for ongoing training and maintenance.

The future of robotic surgery holds promise for continued innovation and advancement, with potential developments in remote surgery, telesurgery, nanorobotics, and personalized surgical approaches

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