title: Robotic-assisted fertility-sparing surgery for early ovarian cancer.
abstract: OBJECTIVE
  To show the feasibility and safety of robotic-assisted laparoscopic fertility-sparing surgery for earlystage ovarian cancer in women of reproductive age.
  
  
  METHODS
  The first patient was a 29-year-old para 0 woman with well-differentiated endometrioid adenocarcinoma of the ovary and complex endometrial hyperplasia with marked atypia. The second patient was a 31-year-old para 0 woman with an immature grade 1 teratoma. Both patients underwent robotic-assisted laparoscopic surgical staging.
  
  
  RESULTS
  In the first patient, there were no intra- or postoperative complications. Operative time was 5 hours 43 minutes and estimated blood loss was 100 mL. She was discharged home on postoperative day 1. She received 3 cycles of carboplatin and paclitaxel, as well as medroxyprogesterone acetate for the duration of chemotherapy. She conceived twice spontaneously since surgery and had two successful deliveries. She currently has no evidence of disease. In the second patient, there were no intra- or postoperative complications. Operative time was 2 hours 52 minutes and estimated blood loss was 200 mL. She was discharged home on postoperative day 1. She declined adjuvant chemotherapy with bleomycin, etoposide, and cisplatin. She conceived spontaneously 4 months later and had a normal vaginal delivery. She currently has no evidence of disease.
  
  
  CONCLUSIONS
  Because fertility-sparing surgery is now accepted as a viable option in young women with earlystage ovarian cancer, less invasive techniques are being used. With the advent of robotic-assisted surgery and its advantages over conventional laparoscopy, we show that it is a safe and feasible approach in select patients. This is the first reported series on robotic fertility-sparing surgery, but more research is needed.
authors: St Luke's-Roosevelt Hospital Center, New York, NY, USA.
authors: Tamara Natasha
authors: TN
authors: Finger
authors: St Luke's-Roosevelt Hospital Center, 425 W 59th St, Suite 9B, New York, NY, 10019, USA.. fnezhat@chpnet.org.
authors: Farr Reza
authors: FR
authors: Nezhat
mesh_terms: D000328:Adult; D042241:Early Diagnosis; D005260:Female; D005298:Fertility; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D009367:Neoplasm Staging; D010051:Ovarian Neoplasms / Q000175:diagnosis / Q000601:surgery*; D010052:Ovariectomy / Q000379:methods*; D012371:Robotics / Q000379:methods*