Abstract
Study Objective To evaluate whether using robot assisted laparoscopic technique (RAL) reduces cyst disruption with spillage during benign ovarian teratoma cystectomy compared to straight laparoscopic technique (SLA) and laparotomy (LAP). Design Retrospective cross-sectional analysis. Setting Community teaching hospital. Patients or Participants All patients who underwent unilateral ovarian cystectomy with pathology confirmed dermoid cyst from 1/2013 to 12/2018. 101 patients met inclusion criteria. Interventions Unilateral ovarian cystectomy Measurements and Main Results Intraoperative spillage rates were not significantly different for LAP 19/38 (50%), SLA 28/45 (62%), and RAL 12/18 (67%). See table below for complete results. Conclusion Robot-assisted laparoscopy did not reduce intraoperative spillage of dermoid cyst contents compared to traditional laparoscopy or laparotomy. In patients with large (>6cm) dermoid cysts the use of RAL decreased blood loss, length of postoperative hospital stay, need for inpatient admission and conversion to LAP (compared to SLA), but increased the length of surgery and hospital cost compared to LAP. We conclude that larger dermoid cysts may be treated with RAL instead of LAP. Smaller cysts may have equivalent outcomes with traditional laparoscopic techniques.
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
