Nathan Mordel, M.D. »Janet Lefkowitz, D.O. »

Excision of Ovarian Tumors

Laparoscopic or robotically assisted laparoscopic (minimally invasive) surgery offer faster recovery, superior cosmetic outcome,  less pain and less blood loss as compared to laparotomy (traditional, open) surgery. This is true for excision of ovarian tumors as well.

Robotically assisted laparoscopic excision of ovarian tumors (RALEOT) stands for removal of benign ovarian growths. RALEOT is an outpatient surgery (no need for overnight hospital stay).

Benign ovarian tumors may vary in size from an inch to several inches in diameter. These growths include dermoids (mature cystic teratomas), cystadenomas, endometriomas (“chocolate” cysts), fibromas and many more.

Importance of Choosing an Experienced Minimally Invasive Surgeon

Performing RALEOT requires a highly skilled minimally invasive gynecologic surgeon. The larger the ovarian tumor, the more challenging is the RALEOT. A very experienced surgeon can safely remove ovarian tumors still using minimally invasive techniques such as RALEOT. To prevent spillage of tumor contents in side the abdomen, an endocatch device (bag) is used.

If a surgeon is not experienced enough, then complications, such as injury to the tubes, ovaries, sigmoid, rectum or ureters as well as spillage of tumor contents may occur at a higher rate. Alternatively, a less experienced surgeon may decide to convert to laparotomy in the middle of the operation.

Patients in a need for RALEOT and are afflicted with an ovarian tumor should choose an experienced surgeon.

The key questions to ask are:

  • How large of a tumor has he/she removed?
  • How many of these cases has he/she performed?
  • What is his/her complication rate?
  • What is his/her conversion rate?


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