Obstet Gynecol Sci.  2020 Mar;63(2):150-157. 10.5468/ogs.2020.63.2.150.

Robotic-assisted interval cytoreductive surgery in ovarian cancer: a feasibility study

Affiliations
  • 1Department of Medicine, College of Medicine, College of Medicine, University of Florida, Gainesville, FL, USA.
  • 2Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, College of Medicine, College of Medicine, University of Florida, Gainesville, FL, USA. joelcardenas@ufl.edu
  • 3Department of Pathology, Immunology and Laboratory Medicine, College of Medicine, College of Medicine, University of Florida, Gainesville, FL, USA.
  • 4Department of Radiology, College of Medicine, University of Florida, Gainesville, FL, USA.

Abstract


OBJECTIVE
The primary objective was to assess the feasibility of robotic-assisted interval cytoreductive surgery for achieving complete cytoreduction for patients with advanced-stage ovarian cancer. The secondary objective was to examine the perioperative outcomes.
METHODS
A retrospective study of 12 patients with stage IIIC or IV ovarian, fallopian tube, and primary peritoneal carcinoma who underwent interval cytoreductive surgery after neo-adjuvant chemotherapy.
RESULTS
Optimal cytoreduction was achieved in 100% of selected patients. Complete cytoreductive surgery was achieved in 75% of patients. The estimated mean blood loss was 100 mL. The median length of hospital stay was 2 days. Perioperative complication and 30-day readmission rates were 8.3% (1 patient). The median follow-up time was 9.5 months.
CONCLUSION
Robotic-assisted interval cytoreductive surgery in ovarian cancer is safe and feasible and may be an alternative to standard laparotomy in selected patients.

Keyword

Robotic surgical procedure; Ovarian cancer; Cytoreductive surgical procedure

MeSH Terms

Cytoreduction Surgical Procedures
Drug Therapy
Fallopian Tubes
Feasibility Studies*
Female
Follow-Up Studies
Humans
Laparotomy
Length of Stay
Ovarian Neoplasms*
Retrospective Studies
Robotic Surgical Procedures
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