Single Port Access (SPA) Robot Assisted Laparoscopic Surgery for Posterior Pelvic Exenteration in Patients with Advanced Ovarian Cancer: Farghaly's Technique

Farghaly, Samir A.

doi:10.1016/j.jmig.2011.08.591

Cited by 2 publications

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“…The procedure is cost-effective with acceptable operative, pathological, and short and long term clinical outcome. It retains the advantage of minimally invasive surgery [14]. The disadvantages of robot-assisted surgery include the cost, bulkiness, and availability of the robot in different hospitals.…”

Section: Surgical Proceduresmentioning

confidence: 99%

Current diagnosis and management of ovarian cysts

Farghaly¹

2014

Clin. Exp. Obstet. Gynecol.

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The epidemiology of ovarian cysts is unclear due to the lack of consistent reporting and a high likelihood of spontaneous resolution. In the USA, postmenopausal women have an ovarian cyst incidence of 18% over a 15-year period. Worldwide, about 7% of women have an ovarian cyst at some point in their lives. In Europe, a large screening trial revealed a 21.2% incidence of ovarian cysts among healthy postmenopausal women. The American College of Obstetricians and Gynecologists (ACOG) stated that simple cysts found on ultrasound may be safely followed without intervention, even in postmenopausal women. These cysts are not likely cancer precursors, nor markers of increased risk, and can be managed conservatively. Simple ovarian cysts appear to be stable or resolve by the next annual examination. These findings support recent recommendations to follow unilocular simple cysts in postmenopausal women without intervention. For those patients, ovarian cancer screening and follow up include a CA-125 blood test and transvaginal ultrasonography (TVU) at baseline, an annual TVU for three additional years, and annual CA-125 tests for five years beyond baseline. The TVU screening examination is considered positive (abnormal and suspicious for ovarian cancer) when findings included: 1) ovarian volume greater than 10 cubic cm; 2) cyst volume greater than ten cubic cm; 3) any solid area or papillary projection extending into the cavity of a cystic ovarian tumor of any size; or, 4) any mixed (solid/cystic) component within a cystic ovarian tumor. Women with positive screening examinations are referred to gynecologic oncology unit for follow-up investigation. Diagnostic consideration and surgical management of ovarian cysts are discussed.

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Section: Surgical Proceduresmentioning

confidence: 99%

Current diagnosis and management of ovarian cysts

Farghaly¹

2014

Clin. Exp. Obstet. Gynecol.

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“…Subsequently, its advantages over laparotomy became well established, including superior intraoperative visualization, smaller incisions, reduced blood loss, decreased postoperative complications such as wound infections and small bowel ileus, shorter hospitalization time and faster recovery . However, laparoscopy presented its own drawbacks; lack of depth perception, two‐dimensional (2D) optics, camera instability, reliance on skilled surgical assistance, counter‐intuitive hand motion, limited range of motion, non‐wristed instrumentation and protracted learning curves . The da Vinci computer‐assisted laparoscopy surgical system (Intuitive Surgical, Sunnyvale, CA, USA) was approved by the FDA for use in gynaecological procedures in 2005.…”

Section: Introductionmentioning

confidence: 99%

Robotic surgery for ovarian cancers: individualization of the surgical approach to select ovarian cancer patients

Rabinovich

2015

Robotics Computer Surgery

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Single Port Access (SPA) Robot Assisted Laparoscopic Surgery for Posterior Pelvic Exenteration in Patients with Advanced Ovarian Cancer: Farghaly's Technique

Cited by 2 publications

References 0 publications

Current diagnosis and management of ovarian cysts

Current diagnosis and management of ovarian cysts

Robotic surgery for ovarian cancers: individualization of the surgical approach to select ovarian cancer patients

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