SPECIAL ARTICLE   

Minerva Chirurgica 2020 April;75(2):121-4

DOI: 10.23736/S0026-4733.20.08253-X

Copyright © 2020 EDIZIONI MINERVA MEDICA

language: English

Robotic resection of a large ovarian leiomyoma

Alberto MANGANO ✉, Valentina VALLE, Roberto BUSTOS, Stephan GRUESSNER, Mario MASRUR, Gabriela AGUILUZ, Francesco BIANCO, Pier C. GIULIANOTTI

Division of General, Minimally Invasive and Robotic Surgery, University of Illinois at Chicago, Chicago, IL, USA

Uterine leiomyomata are the most frequent leiomyomata. However, this benign tumor can also arise in unusual locations (e.g. ovaries, urethra, bladder and vulva). The diagnostic process of ovarian leiomyomata can be difficult, and it is mostly incidental: the lesions are usually small and the clinical presentation is mainly asymptomatic. Since the first case described in 1862, less than 100 cases have been described. Some of these lesions have been treated laparoscopically. To our knowledge, this is the first worldwide case of an ovarian leiomyoma treated with a robotic approach (surgeon: Prof. P.C. Giulianotti, M.D., F.A.C.S.). Moreover, we provide an overview of the recent literature, and an intraoperative video of the intervention.

KEY WORDS: Robotic surgical procedures; Leiomyoma; Tissue adhesions