IMR Press / EJGO / Volume 34 / Issue 5 / pii/1630906442011-645424145

European Journal of Gynaecological Oncology (EJGO) is published by IMR Press from Volume 40 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on as a courtesy and upon agreement with S.O.G.

Original Research
Laparoscopic management of early stage ovarian cancer: is it feasible, safe, and adequate? A retrospective study
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1 Minimally Invasive Gynecological Surgery Unit, S. Orsola Hospital, University of Bologna, Bologna (Italy)
Eur. J. Gynaecol. Oncol. 2013, 34(5), 415–418;
Published: 10 October 2013

Introduction: Minimally invasive surgery to stage early ovarian cancer is still regarded as pioneering among gynecologic oncologists. Previous retrospective experiences demonstrated the safety and feasibility of laparoscopy in this field. Aims: To review the laparoscopic staging procedure in a series of patients with early ovarian cancer and compare results with the literature. Materials and Methods: From January 2004 to September 2011, 19 patients with apparent early stage ovarian/fallopian tube cancer Stage IA to IC underwent either primary treatment or completion staging by laparoscopy. Surgical, pathologic, and oncologic outcomes were analyzed. Results: The mean operative time was 212 ± 69 minutes. Three patients (16%) underwent fertility sparing surgery. The mean estimated blood loss was two ± two g/dl. The mean number of pelvic and para-aortic lymph nodes collected was 17 (range 7-27) and 14 (range 8-21), respectively. The mean volume of ovarian/tubal tumor was 119 cm3 (range 1.5-500). The disease was reclassified to a higher stage in ten women (52%). One major intraoperative complication (five percent) occurred which required the conversion to laparotomy. The mean follow up period was 30 ± 16 months (range 10-74). Overall survival and disease-free survival were 100% and 84%, respectively. Conclusions: Laparoscopic staging of early ovarian cancer appears to be feasible and comprehensive when performed by gynecologic oncologists experienced with advanced laparoscopy.
Early ovarian cancer
Minimally invasive treatment
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