Robotic Surgery in Gynecology: Oophorectomy in a case of giant ovarian cyst

A. Parisi

Minimally invasive gynecologic surgery has obtained a great development since the introduction of the robotic systems. In this video, we show an oophorectomy in a 62 year-old woman with a giant ovarian cyst. Ovarian cysts are traditionally labeled as giant when they reach a diameter of 15 cm. In this situation, the characteristics of the robot are emphasized. The use of the robotic system may support the action of the surgeon in minimally invasive interventions that require a precise dissection. The Da Vinci surgical system allows for the use of a large and three-dimensional viewing field, a steady traction, tremor suppression and flexibility of the instruments. Management of giant intraabdominal cysts has traditionally required a midline laparotomy. Otherwise, the robot provides various benefits including less pain, shorter hospital stay, a significantly better cosmetic result.