Role of robotic surgery in ovarian malignancy

As part of minimally invasive surgery, robotic assisted approach is becoming increasing popular in gynecological oncology. It has been shown effective and feasible for staging and treat endometrial and cervical cancer, but its role in the context of primary and recurrent ovarian cancers is still debated. Scanty data are available from literature, and level of evidence supporting its use in ovarian cancer is quite low. However, from retrospective case control series robotic surgery seems a safe and feasible approach for early stage ovarian cancer. Its use for treating patients with advanced stage or relapsed ovarian cancer is still highly controversial, suggesting the choice of robotic approach in a highly selected population.