Robot-assisted laparoscopic debulking surgery for recurrent adult granulosa cell tumors
Despite an often early diagnosis and effective initial surgical management, one third of adult granulosa cell tumors (aGCTs) eventually, and often repeatedly, recurs. Debulking surgery remains the preferred treatment modality for recurrent aGCT, although the risk of intraoperative complications incr...
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2021-08-01
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doaj-0b466c210e5644feac3ceef0cfa52fd82021-09-25T05:08:22ZengElsevierGynecologic Oncology Reports2352-57892021-08-0137100783Robot-assisted laparoscopic debulking surgery for recurrent adult granulosa cell tumorsJolijn W. Groeneweg0Joline F. Roze1Wouter B. Veldhuis2Jelle P. Ruurda3Cornelis G. Gerestein4Ronald P. Zweemer5Department of Gynecologic Oncology, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands; Corresponding author at: Department of Gynecologic Oncology, University Medical Center Utrecht, Postbus 85500, 3508GA Utrecht, The Netherlands.Department of Gynecologic Oncology, University Medical Center Utrecht, Utrecht University, Utrecht, The NetherlandsDepartment of Radiology, University Medical Center Utrecht, Utrecht University, Utrecht, The NetherlandsDepartment of Surgery, University Medical Center Utrecht, Utrecht University, Utrecht, The NetherlandsDepartment of Gynecologic Oncology, University Medical Center Utrecht, Utrecht University, Utrecht, The NetherlandsDepartment of Gynecologic Oncology, University Medical Center Utrecht, Utrecht University, Utrecht, The NetherlandsDespite an often early diagnosis and effective initial surgical management, one third of adult granulosa cell tumors (aGCTs) eventually, and often repeatedly, recurs. Debulking surgery remains the preferred treatment modality for recurrent aGCT, although the risk of intraoperative complications increases with repeated laparotomy. Minimally invasive surgery may limit the risk of complications. We aim to share our initial experience with robotic debulking surgery for recurrent aGCT. Clinical and surgical data of patients with recurrent aGCT who underwent robotic cytoreductive surgery over a three-year period at a tertiary referral center were retrospectively collected and analyzed. Between 2017 and 2020, three patients underwent robotic debulking surgery for recurrent aGCT at our institution. Complete cytoreduction was achieved in all patients. No intraoperative or postoperative complications were reported. This small pilot series at a single academic institution suggests that robot-assisted laparoscopy may be feasible and safe in selected patients with recurrent aGCT. A minimally invasive approach could reduce the complexity of successive surgeries for aGCT relapse.http://www.sciencedirect.com/science/article/pii/S2352578921000874Granulosa cell tumorRobot-assisted laparoscopyDebulkingCytoreductive surgeryRecurrence |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Jolijn W. Groeneweg Joline F. Roze Wouter B. Veldhuis Jelle P. Ruurda Cornelis G. Gerestein Ronald P. Zweemer |
spellingShingle |
Jolijn W. Groeneweg Joline F. Roze Wouter B. Veldhuis Jelle P. Ruurda Cornelis G. Gerestein Ronald P. Zweemer Robot-assisted laparoscopic debulking surgery for recurrent adult granulosa cell tumors Gynecologic Oncology Reports Granulosa cell tumor Robot-assisted laparoscopy Debulking Cytoreductive surgery Recurrence |
author_facet |
Jolijn W. Groeneweg Joline F. Roze Wouter B. Veldhuis Jelle P. Ruurda Cornelis G. Gerestein Ronald P. Zweemer |
author_sort |
Jolijn W. Groeneweg |
title |
Robot-assisted laparoscopic debulking surgery for recurrent adult granulosa cell tumors |
title_short |
Robot-assisted laparoscopic debulking surgery for recurrent adult granulosa cell tumors |
title_full |
Robot-assisted laparoscopic debulking surgery for recurrent adult granulosa cell tumors |
title_fullStr |
Robot-assisted laparoscopic debulking surgery for recurrent adult granulosa cell tumors |
title_full_unstemmed |
Robot-assisted laparoscopic debulking surgery for recurrent adult granulosa cell tumors |
title_sort |
robot-assisted laparoscopic debulking surgery for recurrent adult granulosa cell tumors |
publisher |
Elsevier |
series |
Gynecologic Oncology Reports |
issn |
2352-5789 |
publishDate |
2021-08-01 |
description |
Despite an often early diagnosis and effective initial surgical management, one third of adult granulosa cell tumors (aGCTs) eventually, and often repeatedly, recurs. Debulking surgery remains the preferred treatment modality for recurrent aGCT, although the risk of intraoperative complications increases with repeated laparotomy. Minimally invasive surgery may limit the risk of complications. We aim to share our initial experience with robotic debulking surgery for recurrent aGCT. Clinical and surgical data of patients with recurrent aGCT who underwent robotic cytoreductive surgery over a three-year period at a tertiary referral center were retrospectively collected and analyzed. Between 2017 and 2020, three patients underwent robotic debulking surgery for recurrent aGCT at our institution. Complete cytoreduction was achieved in all patients. No intraoperative or postoperative complications were reported. This small pilot series at a single academic institution suggests that robot-assisted laparoscopy may be feasible and safe in selected patients with recurrent aGCT. A minimally invasive approach could reduce the complexity of successive surgeries for aGCT relapse. |
topic |
Granulosa cell tumor Robot-assisted laparoscopy Debulking Cytoreductive surgery Recurrence |
url |
http://www.sciencedirect.com/science/article/pii/S2352578921000874 |
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