Feasibility and perioperative outcomes of robotic-assisted surgery in the management of recurrent ovarian cancer: A multi-institutional study Journal Article
| Authors: | Escobar, P. F.; Levinson, K. L.; Magrina, J.; Martino, M. A.; Barakat, R. R.; Fader, A. N.; Leitao, M. M. Jr |
| Article Title: | Feasibility and perioperative outcomes of robotic-assisted surgery in the management of recurrent ovarian cancer: A multi-institutional study |
| Abstract: | Objectives: Minimally invasive surgery for recurrent ovarian cancer is generally not performed. The aim of this study was to assess the feasibility and surgical outcomes of robotic-assisted surgery in the management of recurrent ovarian cancer. Methods: Eligible patients included those with confirmed recurrent ovarian cancer amenable to surgical resection and in which a complete resection was thought to be feasible with the use of the robotic platform. Patients with evidence of carcinomatosis were not considered for a robotic approach. Clinical and pathologic data were abstracted from the medical records. Appropriate statistical tests were performed using SPSS statistical software program (SPSS 20.0 Inc., Chicago, IL). Results: A total of 48 patients were identified. Thirty-six (75%) patients had a recurrent mass or masses isolated to one anatomic region (pelvis or abdomen). Conversion to laparotomy was necessary in 4 (8.3%) cases. In cases not requiring conversion to laparotomy, the median operative time, EBL, and length of stay were 179.5 min, 50 cc, and 1 day, respectively. An optimal debulking was achieved in 36 (82%) cases. Complications occurred in 6 (13.6%) cases. The median operative time, EBL, length of stay, and complications were all statistically significantly lower in the cases not converted to laparotomy compared to those that were (p < 0.001). Conclusions: This study suggests that select patients with recurrent ovarian cancer in the absence of carcinomatosis may be candidates for secondary surgical cytoreduction via a robotic approach. Surgical and postoperative outcomes appear to be favorable compared to reports of laparotomy in recurrent ovarian cancer. © 2014 Elsevier Inc. |
| Keywords: | surgical technique; minimally invasive surgery; robotic surgery |
| Journal Title: | Gynecologic Oncology |
| Volume: | 134 |
| Issue: | 2 |
| ISSN: | 0090-8258 |
| Publisher: | Elsevier Inc. |
| Date Published: | 2014-08-01 |
| Start Page: | 253 |
| End Page: | 256 |
| Language: | English |
| DOI: | 10.1016/j.ygyno.2014.05.007 |
| PROVIDER: | scopus |
| PUBMED: | 24844594 |
| DOI/URL: | |
| Notes: | Export Date: 2 September 2014 -- CODEN: GYNOA -- Source: Scopus |
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