Laparoscopic cytoreduction for primary advanced ovarian cancer.

Title

Laparoscopic cytoreduction for primary advanced ovarian cancer.

Creator

Fanning James; Hojat Rod; Johnson Jil; Fenton Bradford

Publisher

JSLS : Journal of the Society of Laparoendoscopic Surgeons

Date

2010
2010-03

Description

INTRODUCTION: We evaluated the feasibility of laparoscopic cytoreduction for primary advanced ovarian cancer. METHODS: All patients with presumed stage 3/4 primary ovarian cancer underwent attempted laparoscopic cytoreduction. All patients had CT evidence of omental metastasis and ascites. A 5-port (5-mm) transperitoneal approach was used. A bilateral salpingo-oophorectomy, supracervical hysterectomy, and omentectomy were performed with PlasmaKinetic (PK) cutting forceps. A laparoscopic 5-mm Argon-Beam Coagulator was used to coagulate tumor in the pelvis, abdominal peritoneum, intestinal mesentery, and diaphragm. RESULTS: Nine of 11 cases (82%) were successfully debulked laparoscopically without conversion to laparotomy. Median operative time was 2.5 hours, and median blood loss was 275 mL. All tumors were debulked to \textless2 cm and 45% had no residual disease. Stages were 1-3B, 7-3C, and 1-4. Median length of stay was one day. Median VAS pain score was 4 (discomforting). Two of 11 patients (18%) had postoperative complications. CONCLUSION: Laparoscopic cytoreduction was successful and resulted in minimal morbidity. Because of our small sample size, additional studies are needed.

Subject

Female; Humans; Middle Aged; Aged; Feasibility Studies; Treatment Outcome; Laparoscopy/*methods; Gynecologic Surgical Procedures/*methods; Hysterectomy; Laser Coagulation; Ovarian Neoplasms/pathology/*surgery; Ovariectomy/*methods

Rights

Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).

Pages

80–82

Issue

1

Volume

14

Citation

Fanning James; Hojat Rod; Johnson Jil; Fenton Bradford, “Laparoscopic cytoreduction for primary advanced ovarian cancer.,” NEOMED Bibliography Database, accessed March 29, 2024, https://neomed.omeka.net/items/show/5235.