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Robotic Resection of Diaphragm Metastases in Ovarian Cancer: Technical Aspects.

Abstract：

:Diaphragm metastases in ovarian cancer can be safely resected robotically in selected patients. The technique is similar to laparotomy, whether it is a peritoneal or full-thickness excision. Trocar placement is very important for successful resection and is dependent on the location of the disease. Metastases involving the left diaphragm and the ventral aspect of the right diaphragm are accessed with trocars placed slightly cranial to the umbilicus. Metastases in the dorsal aspect of the right diaphragm are removed with trocars in the upper quadrants. Metastases located in the lateral portion of the right diaphragm are excised using an infrahepatic approach, and those in the medial aspect are removed using a suprahepatic approach. In peritoneal resection, monopolar instruments must be kept at 10 W to 15 W to prevent contraction of the diaphragm and pleural perforation. Intraoperative pleural decompression is performed via an aspirating catheter. A video of the technique described in this report is available online (Supplementary Video 1).

journal_name

J Minim Invasive Gynecol

journal_title

Journal of minimally invasive gynecology

authors

Magrina JF,Magtibay PM

doi

10.1016/j.jmig.2019.12.018

subject

Has Abstract

pub_date

2020-01-01 00:00:00

pages

1417-1422

issue

6

eissn

1553-4650

issn

1553-4669

pii

S1553-4650(20)30002-9

journal_volume

27

pub_type

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