Introduction The patient is a 64 year-old individual with germline BRCA^wt status and recurrent ovarian cancer status post second-line treatment. She presented with increasing growths in her spleen and along the descending colon. We outline a robotic-assisted laparoscopic splenectomy and tumor implant removal performed by a multidisciplinary team of gynecologic oncologists and surgical oncologists.

Description Laparoscopic access was acquired using 12-mm AirSeal device followed by four 8-mm robotic trocars. The surgical field of view of interest was achieved by placing the patient in reverse Trendelenburg with a partial right lateral decubitus position. Due to the patient’s prior omentectomy, there was optimal visualization of the splenic ligaments and vasculature. Hem-a-lock clips were applied on the splenic vessels upon skeletonization, which were sealed and divided with the robotic vessel sealer. The pericolonic tumor had dense adhesions to the mesentery of the descending colon which disallowed its complete removal. This did not affect the patient’s disease course due to existing abdominal miliary disease. There were no intraoperative or postoperative complications, and the patient was discharged on postoperative day 1. Her pathology returned with metastatic carcinoma consistent with her primary diagnosis.

Conclusion/Implications This video shows the feasibility of a robotic-assisted laparoscopic splenectomy with tumor implant removal in recurrent ovarian carcinoma. A multi-disciplinary approach with surgical colleagues may offer improved patient benefit.