Introduction: Traditionally an open laparotomy with a vertical midline incision is used for the surgical staging, but, in selected cases, minimally invasive procedures are equally effective in achieving optimal cyto-reduction. The DaVinci telerobotic laparoscopic system is an innovative technology which overcomes the current limitations of laparoscopy with the 3-dimensional vision and instruments with a wrist like mechanism which fully replicate surgeons hand movements. The currently available data supports the safety and feasibility of robotic surgery in selected ovarian cancers.

Case summary and procedure details: A 27-year-old female presented to AIIMS Jodhpur after undergoing ovarian cyst excision from outside hospital. The histopathology report showing borderline serous cystadenoma. She had completed her family. On evaluation, she had no lymphadenopathy, her per abdominal, per vaginal and per rectal examination was normal. CECT abdomen revealed heterogeneously enhancing left ovary with attachment of left colon in its posterior aspect. Her Serum LDH was 131U/L, Serum AFP was 1.72ng/ml and serum CA 125 was 22.1 u/ml. After discussing with the patient and relatives, she was planned for completion cytoreductive surgery by robotic total hysterectomy, bilateral pelvic lymphadenectomy and infra-colic omentectomy. The procedure was completed satisfactorily with single docking. The post-operative period was uneventful, and she was discharged on 4^th post-operative day.

Conclusion: Robotic cytoreduction offers satisfactory results with minimal morbidity to the patient. The improved imaging and instrumentation provided by the DaVinci system helps in optimal care but lack of tactile feedback and the high cost of the technology remains as the limitations.