Results
Population The study population consisted of 165 patients with a median age of 40
years (range 23-81 years) and median BMI was 24 kg/m2(range 18-41 kg/m2). The majority (90.3%) were staged
as FIGO IB1. One robot-assisted procedure was converted to conventional
laparoscopy because of technical difficulties. There were no conversions
to laparotomy.
A total of 145 (87.9%) procedures were preceded by SLN evaluation and
in 84.1% of these cases the sentinel nodes were detected bilaterally.
Due to lymphatic tumour involvement radical hysterectomy was omitted in
13 patients (7.9%) and subsequently primary treatment was adjusted to
chemoradiation. Another 22 patients (13.3%) received adjuvant
radiotherapy or chemoradiation because of post-operative
histopathological findings of positive lymph nodes (n = 5),
parametrial invasion (n = 4), positive (n = 1) or narrow
(<5 mm, n = 6) resection margins, extensive LVSI
(n = 1) or a combination of any of these criteria (n = 5).
One of the patients with micrometastasis in one lymph node did not
receive adjuvant chemoradiation due to contra-indications for
radiotherapy. The median follow-up duration was 57 months (range 3-132
months).