Although the benefits of this technique have not yet been established in a prospective randomized manner, we showed the technical feasibility of robotic-assisted laparoscopic radical hysterectomy in early-stage cervical carcinoma cases and better results than with traditional total laparoscopic radical hysterectomy.

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In stage IA CC, similar oncological survival outcomes were observed for MIRH and ARH.• In stage IB1 CC, MIRH yielded a significantly shorter TTR, CSS and OS than ARH.• In stage IB1 CC ≤2 cm, MIRH yielded a significantly shorter TTR, CSS and OS than ARH when conization was not performed.• Intraperitoneal combined recurrences accounted for 40.0% of all recurrences after MIRH compared to 0.0% after ARH.• No intraperitoneal combined recurrences were observed in patients who underwent conization with clean margins.