A hybrid technique of combined conventional and robotic-assisted laparoscopy for staging and debulking of early, advanced, and recurrent ovarian, fallopian tube, and primary peritoneal cancer

Farr R. Nezhat, Susan S. Khalil, Tamara N. Finger, Patrick F. Vetere

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

This study aims to describe a hybrid laparoscopic and robotic-assisted laparoscopic technique to access all four abdominal quadrants during pelvic procedures. This technique was utilized in the surgical management of select cases that included early, advanced, and recurrent ovarian, fallopian tube, and peritoneal cancer. A retrospective analysis of a prospectively maintained database was used to extract cases that this surgical method was utilized in. This included 20 patients that underwent 21 surgical procedures using this hybrid technique of conventional laparoscopy and robotic-assisted laparoscopy. Ten were early stage, and 11 were advanced and/or recurrent (six advanced, five recurrent). In the early-stage group, mean age was 42.3 years (range, 29-55), average BMI was 32.1 kg/m2 (range, 17-65 kg/m2), mean blood loss was 212.5 ml (range, 50-1,000 mL), operating room time (ORT) was 306.1 min (range, 87-639), and average length of stay (LOS) was 1.6 days (range, 1-2). There were no intraoperative complications and two grade 1 postoperative complications. Of the 11 for advanced and/or recurrent disease, mean age was 63.9 years (range, 39-92), average BMI was 29.7 kg/m2 (range, 22.1-37.2), mean blood loss was 129.1 ml (range, 20-400), ORT was 238 min (range, 103-477), and LOS was 3.8 days (range, 1-17). There were no intraoperative complications. Three cases had postoperative grade 1-3 complications. There was one second look, nine cytoreductions to no visible disease, and 1 to <0.5 cm. Use of this hybrid technique, combining conventional laparoscopy and the present robotic platform, is effective in the surgical management of early, advanced and recurrent ovarian, fallopian tube, and peritoneal cancer in accessing all four abdominal quadrants with pelvic surgery.

Original languageEnglish
Pages (from-to)27-36
Number of pages10
JournalGynecological Surgery
Volume11
Issue number1
DOIs
StatePublished - Feb 2014
Externally publishedYes

Keywords

  • Conventional laparoscopy
  • Hybrid technique
  • Ovarian cancer Staging and Cytoreduction
  • Robotic-assisted laparoscopy

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