Skip to main content
Top
Published in: Archives of Gynecology and Obstetrics 5/2021

Open Access 01-05-2021 | Endoscopy | Gynecologic Oncology

Survey of current practices and opinions of German Society of Gynecologic Endoscopy members regarding the treatment of ovarian neoplasia by robotic surgery

Authors: J. S. M. Zimmermann, J. C. Radosa, M. P. Radosa, P. Sklavounos, P. A. Schweitzer, E. F. Solomayer

Published in: Archives of Gynecology and Obstetrics | Issue 5/2021

Login to get access

Abstract

Purpose

As data on this topic are sparse and contradictory, we aimed to ascertain the opinions of the members of the German Society of Gynecologic Endoscopy (AGE) regarding the use of robotic surgery in the treatment of ovarian malignancies.

Methods

In 2015, an anonymous questionnaire was sent to AGE members to assess their views on the treatment of ovarian malignancies by robotic surgery according to T stage and the current treatment practices in their facilities.

Results

Of the 228 respondents, 132 (58%) were fellows or attending physicians and 156 (68%) worked at university hospitals or tertiary referral centers. Most [n = 218 (96%)] respondents reported treating < 10% of their patients using robotic surgery. Respondents felt that T1 and borderline ovarian tumors, but not T2 (51%) or T3/4 (76%) tumors, should and could be treated by robot surgery. 162 (71%) respondents considered the currently available data on this subject to be insufficient, and 42% indicated their willingness to participate in clinical studies on the applicability of robotic surgery to the treatment of T1/2 ovarian tumors.

Conclusion

The majority of AGE members surveyed considered robotic surgery to be an option for the treatment of T1 ovarian malignancies and borderline ovarian tumors. However, prospective randomized studies are needed to determine the relevance of robotic surgery in this context.
Literature
18.
go back to reference Yao Y, Li X, Yang Y et al (2015) Robotic surgery in the management of early ovarian malignancy tumors. Zhonghua Fu Chan Ke Za Zhi 50:603–607PubMed Yao Y, Li X, Yang Y et al (2015) Robotic surgery in the management of early ovarian malignancy tumors. Zhonghua Fu Chan Ke Za Zhi 50:603–607PubMed
23.
go back to reference Nezhat FR, Finger TN, Vetere P et al (2014) Comparison of perioperative outcomes and complication rates between conventional versus robotic-assisted laparoscopy in the evaluation and management of early, advanced, and recurrent stage ovarian, fallopian tube, and primary peritoneal cancer. Int J Gynecol Cancer 24:600–607. https://doi.org/10.1097/IGC.0000000000000096CrossRefPubMed Nezhat FR, Finger TN, Vetere P et al (2014) Comparison of perioperative outcomes and complication rates between conventional versus robotic-assisted laparoscopy in the evaluation and management of early, advanced, and recurrent stage ovarian, fallopian tube, and primary peritoneal cancer. Int J Gynecol Cancer 24:600–607. https://​doi.​org/​10.​1097/​IGC.​0000000000000096​CrossRefPubMed
24.
go back to reference de la Cuesta SR, Goff BA, Fuller AF Jr et al (1994) Prognostic importance of intraoperative rupture of malignant ovarian epithelial neoplasms. Obstet Gynecol 84:1–7 de la Cuesta SR, Goff BA, Fuller AF Jr et al (1994) Prognostic importance of intraoperative rupture of malignant ovarian epithelial neoplasms. Obstet Gynecol 84:1–7
27.
go back to reference Wildbrett P, Oh A, Naundorf D et al (2003) Impact of laparoscopic gases on peritoneal microenvironment and essential parameters of cell function. Surg Endosc 17:78–82CrossRefPubMed Wildbrett P, Oh A, Naundorf D et al (2003) Impact of laparoscopic gases on peritoneal microenvironment and essential parameters of cell function. Surg Endosc 17:78–82CrossRefPubMed
28.
go back to reference Smidt VJ, Singh DM, Hurteau JA et al (2001) Effect of carbon dioxide on human ovarian carcinoma cell growth. Am J Obstet Gynecol 185:1314–1317CrossRefPubMed Smidt VJ, Singh DM, Hurteau JA et al (2001) Effect of carbon dioxide on human ovarian carcinoma cell growth. Am J Obstet Gynecol 185:1314–1317CrossRefPubMed
31.
go back to reference Possover M, Krause N, Plaul K et al (1998) Laparoscopic para-aortic and pelvic lymphadenectomy: experience with 150 patients and review of the literature. Gynecol Oncol 71:19–28CrossRefPubMed Possover M, Krause N, Plaul K et al (1998) Laparoscopic para-aortic and pelvic lymphadenectomy: experience with 150 patients and review of the literature. Gynecol Oncol 71:19–28CrossRefPubMed
34.
go back to reference Ramirez PT, Wolf JK, Levenback C (2003) Laparoscopic port-site metastases: etiology and prevention. Gynecol Oncol 91:179–189CrossRefPubMed Ramirez PT, Wolf JK, Levenback C (2003) Laparoscopic port-site metastases: etiology and prevention. Gynecol Oncol 91:179–189CrossRefPubMed
35.
go back to reference Kristensen SE, Mosgaard BJ, Rosendahl M et al (2017) Robot-assisted surgery in gynecological oncology: current status and controversies on patient benefits, cost and surgeon conditions - a systematic review. Acta Obstet Gynecol Scand 963:274–285. https://doi.org/10.1111/aogs.13084CrossRef Kristensen SE, Mosgaard BJ, Rosendahl M et al (2017) Robot-assisted surgery in gynecological oncology: current status and controversies on patient benefits, cost and surgeon conditions - a systematic review. Acta Obstet Gynecol Scand 963:274–285. https://​doi.​org/​10.​1111/​aogs.​13084CrossRef
Metadata
Title
Survey of current practices and opinions of German Society of Gynecologic Endoscopy members regarding the treatment of ovarian neoplasia by robotic surgery
Authors
J. S. M. Zimmermann
J. C. Radosa
M. P. Radosa
P. Sklavounos
P. A. Schweitzer
E. F. Solomayer
Publication date
01-05-2021
Publisher
Springer Berlin Heidelberg
Published in
Archives of Gynecology and Obstetrics / Issue 5/2021
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI
https://doi.org/10.1007/s00404-020-05876-w

Other articles of this Issue 5/2021

Archives of Gynecology and Obstetrics 5/2021 Go to the issue

Images in Obstetrics and Gynecology

A live tubal twin pregnancy