Robotic Laparoscopic Cystectomy
Robotic laparoscopic cystectomy is a keyhole procedure used to remove cysts from an ovary or the surrounding area. Performed through small abdominal incisions, it uses robotic-assisted instruments to carefully separate and remove the cyst, with the aim of preserving healthy ovarian tissue and protecting fertility.
When the Procedure May Be Recommended
Robotic cystectomy may be recommended when a cyst:
Continues to grow or does not resolve naturally
Causes pelvic pain, bloating, or discomfort during intercourse
Appears complex or abnormal on ultrasound or MRI
Raises uncertainty about the diagnosis
Affects fertility or ovarian function
The aim of surgery is not only to remove the cyst but to preserve healthy ovarian tissue wherever possible.
Advantages of Robotic Laparoscopic Cystectomy
Robotic surgery is one of the most advanced techniques available for ovarian cyst removal. Its advantages include:
Preserves ovarian function - careful removal of the cyst allows the ovary to be reconstructed, helping maintain hormonal function and fertility potential
High surgical precision - advanced 3D visualisation and articulated instruments allow accurate removal of the cyst from the ovary while preserving healthy tissue
Faster recovery - because the surgery is performed through small incisions, recovery is typically quicker with less post-operative pain and scarring
What to Expect
Consultation, assessment and planning
Your treatment begins with a detailed consultation and review of imaging scans, such as ultrasound or MRI. This allows the cyst to be assessed and the most appropriate treatment plan to be discussed.
The operation
Robotic cystectomy is performed under general anaesthesia using small keyhole incisions in the abdomen. The cyst is carefully separated from the ovary and removed using a surgical retrieval bag.
Recovery
Most patients stay in hospital overnight and return home the following day. Many women resume light daily activities within one to two weeks.
The cyst is routinely sent for laboratory analysis (histopathology). A follow-up appointment is arranged to review the results and ensure recovery is progressing well.
Frequently Asked Questions
Will my ovary be removed?
The goal of cystectomy is to remove only the cyst while preserving the ovary. Removal of the entire ovary is rarely necessary and would only be considered if the ovary is severely damaged or if there is concern about malignancy.
Will surgery affect my fertility?
In most cases, removing a cyst while preserving the ovary protects ovarian function and fertility. Many women go on to conceive naturally after treatment.
How long does the surgery take?
Robotic cystectomy typically takes 60–120 minutes, depending on the size and complexity of the cyst.
What if the cyst is cancerous?
Most ovarian cysts are benign. However, tissue removed during surgery is always sent for histological analysis to confirm the diagnosis.
Persistent ovarian cysts do not have to disrupt your health or quality of life. With modern robotic surgery, cysts can be removed precisely while protecting the ovary and supporting long-term reproductive health.
A consultation with Mr Richard Flint allows you to explore whether robotic cystectomy is the right treatment option for your condition.