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Robotic Secondary Cytoreductive Surgery: A Personalized Surgical Approach For a Triple-Site Ovarian Cancer Recurrence
Camilla Certelli1, Elisa Meacci2, Riccardo Oliva3
1Gynecologic Oncology Unit, Department of Woman and Child Health and Public Health, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy. certelli.camilla@gmail.com.
Robotic secondary cytoreductive surgery (SCS) is feasible for recurrent ovarian cancer in multiple extrapelvic sites. This minimally invasive approach achieved complete resection with no complications in a selected patient.
Area of Science:
- Oncology
- Surgical Oncology
- Minimally Invasive Surgery
Background:
- Secondary cytoreductive surgery (SCS) plays an increasing role in recurrent ovarian cancer.
- Complete gross resection in SCS offers a survival advantage.
- Minimally invasive techniques are crucial for managing single and oligometastatic recurrence.
Purpose of the Study:
- To describe the feasibility of a robotic triple-site approach for SCS in recurrent ovarian cancer.
- To demonstrate the application of robotic surgery for complex extrapelvic recurrences.
Main Methods:
- A case of platinum-sensitive ovarian cancer recurrence with three extrapelvic sites was presented.
- Preoperative imaging and 3D reconstruction guided the robotic SCS.
- The surgery involved three distinct anatomical regions.
Main Results:
- Complete cytoreduction was successfully achieved.
- The procedure took 200 minutes with 100 mL estimated blood loss.
- No intraoperative complications occurred, and histology confirmed metastatic disease.
Conclusions:
- Robotic SCS is feasible for selected patients with extrapelvic ovarian cancer recurrence in multiple sites.
- Careful patient selection and preoperative 3D planning are critical for success.
- This approach requires an experienced multidisciplinary surgical team.
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