Robotic Colonic Resection and Reanastomosis in Gynecologic Surgery: Report of 4 Cases

Haider Mahdi, MD, Jessica Woessner, MD, Samantha Gonzalez-Ramos, MD, Maral Malekzadeh, DO, Mehdi Moslemi-Kebria, MD

Gynecologic Oncology Division, Ob/Gyn and Women’s Health Institute, Cleveland Clinic, Cleveland, OH, USA (Drs. Mahdi, Woessner, Gonzalez-Ramos, Moslemi-Kebria). Touro College of Osteopathic Medicine, New York, NY, USA (Dr. Malekzadeh).

ABSTRACT

Introduction: Colonic resection in gynecologic surgery, most commonly in the field of gynecologic oncology, is traditionally performed through open laparotomy. Most cases are performed during cancer debulking in either primary or recurrent settings. Other less common indications include resection of ovarian remnants or endometriotic lesions densely adherent to the large bowel, commonly the rectosigmoid colon.

Case Description: We describe 3 patients with ovarian remnant syndrome and 1 patient with ovarian cancer who underwent successful robotic surgery that included colonic resection and reanastomosis. The mean operative time, blood loss, and hospital stay were 216 minutes, 162.5 mL, and 6.25 days, respectively, with no significant perioperative complications.

Discussion: Minimally invasive robotic colonic resection with reanastomosis is a feasible and safe approach in appropriately selected cases when performed by an experienced surgeon.

Key Words: Robotic, Colon resection, Ovarian remnant syndrome, Ovarian cancer.

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