Robotic resection of diaphragmatic metastasis of recurrent ovarian cancer

Peritoneal recurrence of advanced ovarian cancer is a substantial problem. Early detection is essential for timely treatment. Computed tomography is an excellent tool for follow-up; however, it has limitations. Positron emission tomography (PET) detects recurrent lesions by virtue of its superior image resolution. Few recorded cases reported the role of minimally invasive procedures in isolated recurrent ovarian cancer. Herein, we document a perihepatic recurrence of ovarian carcinoma successfully managed with robotic resection. This patient had stage IIIC ovarian cancer sensitive to chemotherapy (paclitaxel and carboplatin), and was followed-up with PET. The patient underwent robotic resection of limited recurrent cancer. For recurrent ovarian cancer, cytoreductive operations are recommended for platinum-sensitive tumors. Robotic-assisted surgery has been widely used since 2005 and is becoming increasingly popular. Its popularity is attributed to its being a delicate surgical technique has substantially lower blood loss and surgery time.