Abstract
Abstract
Background:
Minimally invasive surgery improved patient outcomes by creating significantly less blood loss, better pain control, and shorter recovery times. However, the pathologic diagnostic dilemma regarding uncertain solid tumors highlights the problem of cancer-cell dissemination during surgical morcellation. Preventing cancer-cell dissemination during specimen removal is an important area of concern in conventional laparoendoscopic surgery and in robotic surgery.
Case:
A woman had an enlarged uterus (76.1 mm × 56.2mm) and an ovarian tumor (83.1 mm × 63.0 mm) in her right side with unknown characteristics; both were resected via a robotic-assisted unilateral salpingo-oophorectomy.
Results:
The tumor was removed according to the principle of “containment before resection and manual morcellation” by using a surgical tissue pouch. With this new method of specimen removal, no additional minilaparotomy was needed and no pouch perforation or in-bag morcellation-related complications were recorded.
Conclusions:
The “containment before resection and manual morcellation” method is safe and effective for removal of ovarian tumors with uncertain histology during robotic surgery and potentially can be applied in other minimally invasive surgeries. (J GYNECOL SURG 34:221)
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