Case Report
Copyright ©The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Sep 6, 2019; 7(17): 2542-2548
Published online Sep 6, 2019. doi: 10.12998/wjcc.v7.i17.2542
Robotic-assisted resection of ovarian tumors in children: A case report and review of literature
Xiao-Xiao Xie, Ning Wang, Zi-Hao Wang, Yue-Yue Zhu, Jing-Ru Wang, Xian-Qiang Wang
Xiao-Xiao Xie, Department of Obstetrics and Gynecology, PLA General Hospital, Beijing 100853, China
Ning Wang, Xian-Qiang Wang, Department of Pediatrics, PLA General Hospital, Beijing 100853, China
Zi-Hao Wang, The Fourth Military Medical University, Xi’an 710032, Shanxi Province, China
Yue-Yue Zhu, Jing-Ru Wang, Southern Medical University, Guangzhou 510515, Guangdong Province, China
Author contributions: Xie XX and Wang N contribute equally to this article and should be considered as co-first authors; Xie XX and Wang XQ performed the operation; Xie XX, and Wang N designed this case report; Wang ZH and Wang XQ wrote this paper; Zhu YY and Wang JR was responsible for sorting the data.
Informed consent statement: Informed consent was obtained from the patient.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See:
Corresponding author: Xian-Qiang Wang, MD, PhD, Attending Doctor, Surgeon, Department of Pediatric, PLA General Hospital, No. 28, Fuxing Road, Haidian District, Beijing 100853, China.
Telephone: +86-10-66938418Fax: +86-10-66938418
Received: May 14, 2019
Peer-review started: May 21, 2019
First decision: July 30, 2019
Revised: August 11, 2019
Accepted: August 20, 2019
Article in press: August 20, 2019
Published online: September 6, 2019

Ovarian tumors are common gynecological diseases in children, and the most commonly seen ovarian tumors are germ cell tumors. Robotic surgery is the new access for children ovarian tumors.


From June to October 2017, 4 children with ovarian tumors were admitted and treated in the Department of Pediatric Surgery of People’s Liberation Army General Hospital. The mean age, height, and weight of these patients were 7.5 (1-13) years old, 123.75 (71-164) cm, and 36.8 (8.5-69.5) kg, respectively. Robotic-assisted resection of ovarian tumors was performed for all 4 patients. The 3-port approach was used for robotic manipulation. The surgical procedures were as follows. After creation of the pneumoperitoneum, the robotic scope was placed to explore and find the left ovarian tumor. The trocars for robotic arms 1 and 2 were placed at the sites to the lower right and left of the port of the scope. The tumor capsule in the fallopian tube was incised, and the tumor was completely stripped by an electric hook along the junction of the tumor and the capsule. The resected tumor was completely removed using an endobag. The average docking time of the robotic system was 18.5 min, the average operative time was 120 min, and the average blood loss was 20 mL. No drainage tube was placed except in one patient with a mucinous tumor of the ovary. No fever, pelvic fluid, or intestinal obstruction was reported after surgery. No antibiotics were used during the perioperative period, and the average length of hospital stay after surgery was 3 d.


Robotic-assisted resection of ovarian tumors is a simple, safe, and effective surgical procedure for selected patients.

Keywords: Children, Robotic surgery, Ovarian tumor resection, Case report

Core tip: Ovarian tumors are common gynecological diseases in children, and 4 children with ovarian tumors were treated using a robotic surgical system in the Department of Pediatric Surgery of People's Liberation Army General Hospital. There are no reports available on the use of robotic surgery systems to treat ovarian tumors in children in China. We think that robotic-assisted resection of ovarian tumors in children is feasible and promising.