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

Semiramis L. Carbajal-Mamani, David Schweer, Merry Jennifer Markham, Ashwini Esnakula, Joseph R. Grajo, Jacqueline Castagno, Joel Cardenas-Goicoechea

Year
2020
Citations
12
Access
Open access

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.

Keywords

MedicineCytoreductive surgeryPerioperativeOvarian cancerSurgeryLaparotomyStage (stratigraphy)Retrospective cohort studyCancerInternal medicine

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