Introduction/Background Cervical cancer represents one of the most commonly diagnosed tumours in pregnancy. Robotic surgery is considered as the feasible method of surgical staging of the early-stage cervical cancer. There are very limited data on the robotic lymphadenectomy in pregnant patients with cervical cancer.

Results We present two clinical cases of robotic lymphadenectomy in pregnant patients with cervical cancer. The first patient was a 43-year-old nulliparous woman who underwent a loop electrosurgical excision (LEETZ) in the 15th week of pregnancy and was diagnosed with adenocarcinoma of the cervix pT1b. She underwent a robotic pelvic lymphadenectomy with minimal blood loss and no complications in the 18th week of gestation with negative histology. After 9 cycles of neoadjuvant chemotherapy the pregnancy was terminated by a caesarean section with a radical hysterectomy and bilateral salpingoophorectomy in the 31st week of pregnancy. The second patient was a 31-year-old nulliparous woman who underwent a LEETZ in the 16th week of pregnancy and was diagnosed with squamous cell carcinoma of the cervix with positive endocervical margin of the cone. The patient underwent a re-conisation with a robot assisted systematic pelvic lymphadenectomy with histologically negative lymph nodes. The procedure was associated with minimal blood loss and no intra- or postoperative complications. The patient refused a planned caesarean section with a radical surgical treatment in the 35th week of pregnancy and she gave birth in the 39th week of pregnancy by planned caesarean section to a healthy newborn. A close follow-up is ongoing.

Conclusion A robotic pelvic lymphadenectomy is a feasible and effective method of lymph node staging of the early-stage cervical cancer in pregnant women associated with minimal blood loss and low complication rate. A histopathological lymph nodes assessment plays an essential role in planning the therapeutical approach in pregnant women with cervical carcinoma.

Disclosures None