Robotic assisted cytoreductive surgery, removal of a recurrent disease in the right pericaval lymph node in a patient with ovarian cancer with the robotic Xi platform

Objective The standard approach for recurrent ovarian cancer is laparotomy. In this video, we present a cytoreductive surgery using the robotic Xi platform to remove a 2.7 cm pericaval tumor. Methods A narrative video demonstration of robotic-assisted surgery to remove recurrent ovarian cancer in a...

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Autores principales:	Massoud Shoraka, Hadeer Metwally, Semiramis Carbajal-Mamani, Joel Cardenas-Goicoechea
Formato:	article
Lenguaje:	EN KO
Publicado:	Korean Society of Obstetrics and Gynecology 2021
Materias:	ovarian neoplasm recurrence lymph nodes cytoreduction surgical procedures robotic surgical procedures Gynecology and obstetrics RG1-991
Acceso en línea:	https://doaj.org/article/1bb769c65f994d258d4d87c97246131f
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spelling	oai:doaj.org-article:1bb769c65f994d258d4d87c97246131f2021-11-15T00:50:17ZRobotic assisted cytoreductive surgery, removal of a recurrent disease in the right pericaval lymph node in a patient with ovarian cancer with the robotic Xi platform2287-85722287-858010.5468/ogs.21202https://doaj.org/article/1bb769c65f994d258d4d87c97246131f2021-11-01T00:00:00Zhttp://www.ogscience.org/upload/pdf/ogs-21202.pdfhttps://doaj.org/toc/2287-8572https://doaj.org/toc/2287-8580Objective The standard approach for recurrent ovarian cancer is laparotomy. In this video, we present a cytoreductive surgery using the robotic Xi platform to remove a 2.7 cm pericaval tumor. Methods A narrative video demonstration of robotic-assisted surgery to remove recurrent ovarian cancer in a pericaval lymph node. A 62-year-old female presented with recurrent carcinoma of the pericaval lymph node. After 40 months of surveillance, the patient was asymptomatic, but a computed tomography (CT) scan showed an isolated mass (2.7×2.3 cm) in the right pericaval lymph node. Her cancer antigen (CA)-125 level increased from 26 to 46 U/mL. The robotic Xi platform was used to remove the metastatic lymph nodes. The first step was diagnostic laparoscopy. The second step was robotic port placement below the umbilicus. The third step was dissection and identification of landmarks, and the last step was removal of the tumor and closure. Results The metastatic lymph nodes were removed. The patient was discharged on postoperative day 1 and had no postoperative complications. Her CA-125 level dropped to 17 U/mL two weeks after surgery. Pathology showed metastatic high-grade serous carcinoma in one lymph node, consistent with the patient’s known primary. Two additional lymph nodes were removed and negative for carcinoma. Pelvic washings were negative for malignancy. Conclusion Robotic-assisted surgery is safe and feasible in selected patients with isolated recurrent disease.Massoud ShorakaHadeer MetwallySemiramis Carbajal-MamaniJoel Cardenas-GoicoecheaKorean Society of Obstetrics and Gynecologyarticleovarian neoplasmrecurrencelymph nodescytoreduction surgical proceduresrobotic surgical proceduresGynecology and obstetricsRG1-991ENKOObstetrics & Gynecology Science, Vol 64, Iss 6, Pp 560-564 (2021)
institution	DOAJ
collection	DOAJ
language	EN KO
topic	ovarian neoplasm recurrence lymph nodes cytoreduction surgical procedures robotic surgical procedures Gynecology and obstetrics RG1-991
spellingShingle	ovarian neoplasm recurrence lymph nodes cytoreduction surgical procedures robotic surgical procedures Gynecology and obstetrics RG1-991 Massoud Shoraka Hadeer Metwally Semiramis Carbajal-Mamani Joel Cardenas-Goicoechea Robotic assisted cytoreductive surgery, removal of a recurrent disease in the right pericaval lymph node in a patient with ovarian cancer with the robotic Xi platform
description	Objective The standard approach for recurrent ovarian cancer is laparotomy. In this video, we present a cytoreductive surgery using the robotic Xi platform to remove a 2.7 cm pericaval tumor. Methods A narrative video demonstration of robotic-assisted surgery to remove recurrent ovarian cancer in a pericaval lymph node. A 62-year-old female presented with recurrent carcinoma of the pericaval lymph node. After 40 months of surveillance, the patient was asymptomatic, but a computed tomography (CT) scan showed an isolated mass (2.7×2.3 cm) in the right pericaval lymph node. Her cancer antigen (CA)-125 level increased from 26 to 46 U/mL. The robotic Xi platform was used to remove the metastatic lymph nodes. The first step was diagnostic laparoscopy. The second step was robotic port placement below the umbilicus. The third step was dissection and identification of landmarks, and the last step was removal of the tumor and closure. Results The metastatic lymph nodes were removed. The patient was discharged on postoperative day 1 and had no postoperative complications. Her CA-125 level dropped to 17 U/mL two weeks after surgery. Pathology showed metastatic high-grade serous carcinoma in one lymph node, consistent with the patient’s known primary. Two additional lymph nodes were removed and negative for carcinoma. Pelvic washings were negative for malignancy. Conclusion Robotic-assisted surgery is safe and feasible in selected patients with isolated recurrent disease.
format	article
author	Massoud Shoraka Hadeer Metwally Semiramis Carbajal-Mamani Joel Cardenas-Goicoechea
author_facet	Massoud Shoraka Hadeer Metwally Semiramis Carbajal-Mamani Joel Cardenas-Goicoechea
author_sort	Massoud Shoraka
title	Robotic assisted cytoreductive surgery, removal of a recurrent disease in the right pericaval lymph node in a patient with ovarian cancer with the robotic Xi platform
title_short	Robotic assisted cytoreductive surgery, removal of a recurrent disease in the right pericaval lymph node in a patient with ovarian cancer with the robotic Xi platform
title_full	Robotic assisted cytoreductive surgery, removal of a recurrent disease in the right pericaval lymph node in a patient with ovarian cancer with the robotic Xi platform
title_fullStr	Robotic assisted cytoreductive surgery, removal of a recurrent disease in the right pericaval lymph node in a patient with ovarian cancer with the robotic Xi platform
title_full_unstemmed	Robotic assisted cytoreductive surgery, removal of a recurrent disease in the right pericaval lymph node in a patient with ovarian cancer with the robotic Xi platform
title_sort	robotic assisted cytoreductive surgery, removal of a recurrent disease in the right pericaval lymph node in a patient with ovarian cancer with the robotic xi platform
publisher	Korean Society of Obstetrics and Gynecology
publishDate	2021
url	https://doaj.org/article/1bb769c65f994d258d4d87c97246131f
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Robotic assisted cytoreductive surgery, removal of a recurrent disease in the right pericaval lymph node in a patient with ovarian cancer with the robotic Xi platform

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