Objective This study compares survival of four different surgical approaches including ARH, LRH, RRH and VRH for early-stage cervical cancer in order to define the best effects and survivals for patients. Design Retrospective study. Setting The First Medical Center of the PLA General Hospital. Population 238 women diagnosed early-stage cervical cancer between January 2013 and December 2017 and followed up until September 2020. Methods All patients with early-stage cervical cancer were retrospective collected in the first medical center of the PLA general hospital. Disease free survival (DFS) and overall survival (OS) were calculated using Kaplan-Meier’s method, and survival curves were compared using log-rank test. Main outcome measures Outcomes were the comparison of patients’ DFS and OS between the four different radical hysterectomy approaches. Results The intraoperative blood loss and postoperative exhaust time of LRH, RRH and VRH groups are better than that in ARH group. The total 5-year OS was significant difference among the four groups. However, the difference of 5-year DFS was not statistically significant among the four groups. Furthermore, patients with early-stage cervical cancer had a significantly better DFS and OS in ARH and RRH groups than that in LRH and VRH groups. Conclusions This retrospective study demonstrated that both ARH and RRH obtained higher rate of 5-year DFS and 5-year OS compared with LRH and VRH for early-stage cervical cancer, and the survival outcomes between ARH and RRH were similar. Keywords Cervical cancer, ARH, LRH, RRH, VRH, survival.

Abstract: Objective Patients’ demographics, perioperative data and reasons of using MDT pattern were all analyzed to report preliminary application experiences of an MDT pattern using in the robotic-assisted gynaecological surgery at a single institution. Design Retrospective and descriptive study. Setting Tertiary referral center with one surgical team. Population All the 39 patients who have undergone robotic-assisted MDT gynaecological surgeries from 2018 to 2021 in Chinese PLA General Hospital. Methods Various types of robotic-assisted MDT gynaecological surgeries were carried out by the Da Vinci SI Surgical System. Patients’ demographics, perioperative data and reasons of applying MDT surgeries were described. Main Outcome Measures Patients’ demographics, perioperative data and reasons of applying MDT surgeries. Results Most patients undergone robotic-assisted MDT gynaecological surgeries have at least one abdominal surgery before. The operation cost and hospital expense were higher than common laparoscopy. Hospital stays ranged from 7 to 42 days. General surgery department and urological surgery department were the top two familiar departments involved in robotic-assisted MDT gynaecological surgeries. Only 4 cases appeared intraoperative complications in these surgeries. However, postoperative infection needed to be closely monitored. Conclusions It was indicated that robotic-assisted MDT gynaecological surgeries applied in severe diseases could provide both safety and precision, and the pattern was proved to demonstrate the concept of patient-centered and holistic treatment. Simultaneously, the MDT pattern could cultivate teamwork in various departments in the hospital, thus it was beneficial to both patients and hospitals. Keywords Multi-Disciplinary Teamwork; Robotic-Assisted Surgery; Minimally Invasive Surgery; Gynaecology