Department of Obstetric and Gynecology, MBC (52), King Faisal Specialist Hospital and Research Center, P.O. Box 3354, Riyadh, 11211, Saudi Arabia.
J Robot Surg. 2012 Jun;6(2):163-6. doi: 10.1007/s11701-011-0274-7. Epub 2011 May 19.
The use of the da Vinci Surgical System is becoming popular among surgeons as it allows more control than the standard laparoscopic approach, with comparable benefits and risks. The use of the da Vinci Surgical System during pregnancy was reported earlier and showed to be as safe as laparoscopy. The use of the da Vinci Surgical System in ovarian cancer during pregnancy has not been reported before. To our knowledge, this is the first report of robot-assisted surgical staging for presumed early ovarian cancer. Two women aged 29 and 39 underwent laparotomy for ovarian cystectomy, for presumed benign pathology; the final pathology showed ovarian malignancy. Both patients were referred to a tertiary center and meanwhile became pregnant, and decided to keep the pregnancy. The staging was achieved using robot-assisted surgery in mid-trimester. The use of the da Vinci Surgical System during pregnancy is feasible and safe at mid-trimester. More robot-assisted surgeries during pregnancy will be needed before final recommendations can be made.
达芬奇手术系统的使用在外科医生中越来越受欢迎，因为它比标准的腹腔镜方法具有更多的控制能力，同时具有相当的益处和风险。先前有报道称在怀孕期间使用达芬奇手术系统，结果显示与腹腔镜一样安全。在怀孕期间使用达芬奇手术系统治疗卵巢癌以前没有报道过。据我们所知，这是首例机器人辅助手术分期疑似早期卵巢癌的报告。两名年龄分别为 29 岁和 39 岁的女性因卵巢囊肿切除术而行剖腹手术，术前诊断为良性病变；最终的病理结果显示为卵巢恶性肿瘤。两名患者均被转诊至三级中心，在此期间怀孕，并决定继续妊娠。在妊娠中期采用机器人辅助手术进行分期。在妊娠中期使用达芬奇手术系统是可行和安全的。在最终提出建议之前，还需要进行更多的机器人辅助手术。
