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Robotic surgery in ovarian cancer
Valerio Gallotta1, Camilla Certelli2, Riccardo Oliva2
1Department of Woman, Child and Public Health, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Best Practice & Research. Clinical Obstetrics & Gynaecology
|August 13, 2023
Summary
Minimally invasive surgery (MIS) offers a less invasive approach to treating ovarian cancer (OC), improving patient quality of life. This review details MIS techniques, including robotic surgery, for OC treatment across various stages.
Area of Science:
- Gynecologic Oncology
- Surgical Oncology
- Minimally Invasive Surgical Techniques
Background:
- Ovarian cancer (OC) is a leading cause of cancer-related death in women.
- Complete cytoreduction and surgical staging are key goals in OC treatment.
- Laparotomy remains the standard, but minimally invasive surgery (MIS) is gaining traction.
Purpose of the Study:
- To review the role and techniques of MIS in ovarian cancer treatment.
- To discuss the advantages and disadvantages of MIS, particularly robotic surgery.
- To explore MIS applications in early-stage, advanced-stage, and recurrent OC.
Main Methods:
- Literature review of minimally invasive surgical approaches in ovarian cancer.
- Analysis of studies comparing MIS with traditional laparotomy.
- Focus on robotic surgery as a key MIS technique for OC.
Main Results:
- MIS shows promise in early-stage OC with high survival rates and improved quality of life.
- MIS is valuable in advanced OC for predicting optimal cytoreduction and identifying candidates for neoadjuvant chemotherapy.
- MIS is also applicable in interval debulking and secondary cytoreduction for recurrent OC.
Conclusions:
- MIS, including robotic surgery, is increasingly important in the multidisciplinary management of ovarian cancer.
- MIS offers benefits in staging, cytoreduction, and patient outcomes across different OC stages.
- Further research and adoption of MIS techniques can enhance ovarian cancer treatment paradigms.

