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In early-stage cervical cancer, radical hysterectomy is an established treatment. The operation can be performed either through open surgery or robot-assisted minimally invasive surgery. Until now, there have been limited data from large randomized studies on differences in complications and recovery between the methods.

In a Robot-Assisted Approach to Cervical Cancer (RACC) study, 900 patients with early-stage cervical cancer were randomized to robot-assisted or open radical hysterectomy at hospitals across Europe. The study was coordinated from Karolinska University Hospital and led by Henrik Falconer, adjunct senior lecturer at the Department of Women's and Children's Health at Karolinska Institutet and principal investigator for the RACC study.

Robot-assisted surgery for early-stage cervical cancer was associated with fewer complications during the operation itself than open surgery, but the difference mainly involved less serious events. This did not lead to fewer complications after surgery or to better overall recovery, according to the results published in JAMA Surgery.

Complications during surgery were recorded in 5.7% of patients in the robotic surgery group compared with 10.0% in the open surgery group. Serious complications were uncommon and similar between the groups.

However, the lower rate of complications during robotic surgery did not lead to fewer complications after surgery. 8% in the open surgery group had experienced a complication. Serious complications, readmissions and reoperations were also similar between the groups.

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