Objective:

To evaluate the feasibility and perioperative safety of robotic-assisted ovarian-sparing surgery and to compare outcomes with a pre-robotic cohort.

Approach:

Key Findings:

• Ovarian-sparing surgery was achieved in all robotic cases (100%) compared to 85.7% in the pre-robotic cohort.
• No conversions to open surgery occurred in the robotic group; two conversions/oophorectomies occurred in the pre-robotic cohort.
• Operative time was longer in the robotic cohort (median 2:27:30 vs. 1:42:00; p=0.021).
• Length of hospital stay remained comparable between cohorts.
• One robotic patient required reoperation for trocar-site bleeding.
• Opioid rescue therapy was significantly less frequent in the robotic cohort (10% vs. 50%; p=0.048).

Interpretation:

Robotic-assisted ovarian-sparing surgery for benign ovarian tumours in pediatric and adolescent patients is feasible and safe, facilitating precise tumour enucleation and preservation of healthy ovarian tissue.

Limitations:

• The study is retrospective and conducted at a single centre, which may limit generalizability.
• The sample size is small, with only 24 patients included.

Conclusion:

Robotic-assisted surgery may enhance ovarian-sparing management in pediatric patients with benign ovarian tumours.

Sources:

• ClinicalTrials.gov Identifier: NCT07438704
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