Robotic surgery in the management of early ovarian malignancy tumors

Yuanqing Yao; Xiuli LI; Yizhuo Yang; Zhongyu Liu; Hong Yan; Zhifeng Yan; Li Chen; Jing Wang

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Robotic surgery in the management of early ovarian malignancy tumors

VernacularTitle:机器人手术系统在早期卵巢恶性肿瘤手术中的临床应用
Author: Yuanqing YAO ; Xiuli LI ; Yizhuo YANG ; Zhongyu LIU ; Hong YAN ; Zhifeng YAN ; Li CHEN ; Jing WANG
Publication Type:Journal Article
Keywords: Ovarian neoplasms; Robotic surgical procedures; Surgical procedures,minimally invasive; Gynecologic surgical procedures
From: Chinese Journal of Obstetrics and Gynecology 2015;(8):603-607
CountryChina
Language:Chinese
Abstract: Objective To apply robotic surgery of early ovarian malignancy tumors clinically and evaluate its feasibility in management for early ovarian cancer. Methods Using the da Vinci robotic surgical system, seven patients with early ovarian malignancy tumors (stage Ⅰ) underwent robotic surgery from April 2012 to September 2013. The average age was 45.7 years. Robotic surgeries approaches contained salpingo-oophorectomy,para-aortic lymphadenectomy, pelvic lymphadenectomy, omentectomy and appendectomy. Perioperative and follow-up clinical data were recorded. Results All robotic surgeries were successfully completed without the conversion to laparotomy. The mean operative time was 225 minutes (100-330 minutes). The average estimated blood loss was 171 ml (20-600 ml). No patients received blood transfusions. No intraoperative and postoperative complications were observed. The average number of pelvic lymph node dissected were 18.3 (11-34). The average number of para-aortic lymph node dissected were 3.7 (3-4). The mean follow-up time was 26.0 months after surgery (20-36 months). Currently, all patients had no tumor recurrence and survived. Conclusion Robotic surgery is feasible as a novel alternative approach in the treatment of early ovarian malignancy tumors.