Robot-Assisted Radical Trachelectomy With Sleeve Technique for Preventing Postoperative Cervical Adhesion.

Abstract

Background: To investigate the effect of robot-assisted radical trachelectomy (RRT) with the sleeve technique omitting anti-adhesion devices on postoperative cervical adhesion, perioperative, reproductive observations, and preliminary oncologic follow-up.

Methods: A retrospective analysis was conducted on 8 early-stage cervical cancer patients who underwent RRT with the sleeve technique. No cervical anti-adhesion devices were used. Patients were followed up to assess the status of cervical adhesion, menstruation recovery, fertility, and recurrence.

Results: The FIGO stages of the 8 patients were IA2 (n = 1), IB1 (n = 5), and IB2 (n = 2). All resumed menstruation without cervical adhesion or recurrence during follow-up. Three of them attempted conception, one of whom became pregnant and gave birth to a live singleton via cesarean section in early January 2026.

Conclusion: Preliminary clinical observations suggest that RRT with the sleeve technique may help reduce postoperative cervical adhesion without the use of anti-adhesion devices, which implies that individualised cervical adhesion prevention strategies should be considered.

Trial registration: This study is a case series and thus does not require clinical trial registration. It has been approved by the Research Ethics Committee of Guangxi Medical University First Affiliated Hospital with the approval number IRB No.2025-E0850.