Simulation of robotic radical hysterectomy using the porcine model.

This paper describes simulation of robotically-assisted radical hysterectomy using the porcine model. A technique for robotically-assisted radical hysterectomy was developed using 3 domestic pigs. An edited videoclip of the model was assessed by 3 gynecologic oncologists. The steps of the operation are described in detail and shown in a videoclip. Overall the procedure simulated that done in the human, both anatomically and surgically. Surgical plane development and ureterolysis appears to be easier in the pig, the uterine artery is not anatomically related to the ureter, and there is not a well defined ureteric tunnel. Reported here is a technique for robotically-assisted radical hysterectomy in the domestic pig that may be useful for training purposes.