title: Robotic-assisted surgery for the treatment of pelvic masses in pregnant patients: a series of four cases and literature review.
abstract: The purpose of this study was to assess the safety and feasibility of robotic-assisted surgery for the treatment of a pelvic mass in gravid patients. We retrospectively reviewed the charts of all pregnant women who were diagnosed with a pelvic mass by individual obstetric physicians and referred to our gynecologic oncology service from January 2009 until March 2012; four patients were identified and treated with robotic-assisted surgery by the same group of gynecologic oncologists. The following patient data were collected: age, disease origin, histology, tumor size, gravid status at surgery, surgical procedure, intra- and postoperative surgical complications, and both maternal and fetal outcomes. The gynecologic lesions comprised an immature teratoma, a mucinous cystadenoma, a hemorrhagic cyst and an ovarian endometrioma; in each case, blood loss was minimal and no maternal or fetal intra-operative complications were encountered. All patients had normal, spontaneous vaginal deliveries at term. Robotic-assisted surgery for the treatment of pelvic masses in pregnant patients is ostensibly feasible and associated with favorable outcomes for both the patient and fetus.
authors.affiliation: Gynecologic Oncology Associates, 351 Hospital Road, Suite 507, Newport Beach, CA, 92663, USA.
authors.forename: Alberto A
authors.initials: AA
authors.lastname: Mendivil
authors.affiliation: Gynecologic Oncology Associates, 351 Hospital Road, Suite 507, Newport Beach, CA, 92663, USA.
authors.forename: John V
authors.initials: JV
authors.lastname: Brown
authors.affiliation: Gynecologic Oncology Associates, 351 Hospital Road, Suite 507, Newport Beach, CA, 92663, USA.
authors.forename: Lisa N
authors.initials: LN
authors.lastname: Abaid
authors.affiliation: Gynecologic Oncology Associates, 351 Hospital Road, Suite 507, Newport Beach, CA, 92663, USA.
authors.forename: Mark A
authors.initials: MA
authors.lastname: Rettenmaier
authors.affiliation: Gynecologic Oncology Associates, 351 Hospital Road, Suite 507, Newport Beach, CA, 92663, USA.
authors.forename: John P
authors.initials: JP
authors.lastname: Micha
authors.affiliation: Women's Cancer Research Foundation, Newport Beach, CA, 92663, USA.
authors.forename: Marie A
authors.initials: MA
authors.lastname: Wabe
authors.affiliation: Gynecologic Oncology Associates, 351 Hospital Road, Suite 507, Newport Beach, CA, 92663, USA. bram@gynoncology.com.
authors.forename: Bram H
authors.initials: BH
authors.lastname: Goldstein
keywords: Outcomes; Pelvic mass; Pregnancy; Robotic surgery