Robot-assisted surgical staging for ovarian cancer in pregnant women

被引:2
作者
Ismail A. Al-Badawi
Murad Al-Aker
Wesam Kurdi
Jamal Alsubhi
机构
[1] Department of Obstetric and Gynecology, MBC (52), King Faisal Specialist Hospital and Research Center, Riyadh 11211
关键词
Ovarian cancer; Pregnancy; Robot-assisted; Staging;
D O I
10.1007/s11701-011-0274-7
中图分类号
学科分类号
摘要
The use of the da Vinci Surgical System is becoming popular among surgeons as it allows more control than the standard laparoscopic approach, with comparable benefits and risks. The use of the da Vinci Surgical System during pregnancy was reported earlier and showed to be as safe as laparoscopy. The use of the da Vinci Surgical System in ovarian cancer during pregnancy has not been reported before. To our knowledge, this is the first report of robot-assisted surgical staging for presumed early ovarian cancer. Two women aged 29 and 39 underwent laparotomy for ovarian cystectomy, for presumed benign pathology; the final pathology showed ovarian malignancy. Both patients were referred to a tertiary center and meanwhile became pregnant, and decided to keep the pregnancy. The staging was achieved using robot-assisted surgery in mid-trimester. The use of the da Vinci Surgical System during pregnancy is feasible and safe at mid-trimester. More robot-assisted surgeries during pregnancy will be needed before final recommendations can be made. © 2011 Springer-Verlag London Ltd.
引用
收藏
页码:163 / 166
页数:3
相关论文
共 9 条
[1]  
Ghezzi F., Cromi A., Uccella S., Bergamini V., Tomera S., Franchi M., Et al., Laparoscopy versus laparotomy for the surgical management of apparent early stage ovarian cancer, Gynecol Oncol, 105, 2, pp. 409-413, (2007)
[2]  
Nezhat F.R., Ezzati M., Chuang L., Shamshirsaz A.A., Rahaman J., Gretz H., Laparoscopic management of early ovarian and fallopian tube cancers: Surgical and survival outcome, Am J Obstet Gynecol, 200, 1, (2009)
[3]  
Corneille M.G., Gallup T.M., Bening T., Wolf S.E., Brougher C., Myers J.G., Et al., The use of laparoscopic surgery in pregnancy: Evaluation of safety and efficacy, Am J Surg, 200, 3, pp. 363-367, (2010)
[4]  
Yuen P.M., Ng P.S., Leung P.L., Rogers M.S., Outcome in laparoscopic management of persistent adnexal mass during the second trimester of pregnancy, Surg Endosc, 18, 9, pp. 1354-1357, (2004)
[5]  
Nezhat F., Minimally invasive surgery in gynecologic oncology: Laparoscopy versus robotics, Gynecol Oncol, 111, 2 SUPPL., (2008)
[6]  
Fechner A.J., Alvarez M., Smith D.H., Al-Khan A., Robotic-assisted laparoscopic cerclage in a pregnant patient, Am J Obstet Gynecol, 200, 2, (2009)
[7]  
Wolfe L., Depasquale S., Adair C.D., Torres C., Stallings S., Briery C., Et al., Robotic-assisted laparoscopic placement of transabdominal cerclage during pregnancy, Am J Perinatol, 25, 10, pp. 653-655, (2008)
[8]  
Yumi H., Guidelines for diagnosis, treatment, and use of laparoscopy for surgical problems during pregnancy, Surg Endosc, 22, pp. 849-861, (2008)
[9]  
Roman H., Accoceberry M., Bolandard F., Bourdel N., Lenglet Y., Canis M., Laparoscopic management of a ruptured benign dermoid cyst during advanced pregnancy, J Minim Invasive Gynecol, 12, 4, pp. 377-378, (2005)