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Am J Obstet Gynecol. 2009 Jan;200(1):83.e1-6. doi: 10.1016/j.ajog.2008.08.013. Epub 2008 Nov 18.

Laparoscopic management of early ovarian and fallopian tube cancers: surgical and survival outcome.

Author information

1
Division of Gynecologic Oncology, Minimally Invasive Surgery and Gynecologic Robotics, Department of Obstetrics and Gynecology, St Luke's-Roosevelt Hospital Center, New York, NY 10019, USA. fnezhat@chpnet.org

Abstract

OBJECTIVE:

To evaluate the role of laparoscopy for staging of early ovarian cancers.

STUDY DESIGN:

Case series conducted at the University Hospital with 36 patients who had presumed early-stage adnexal cancers. Laparoscopic staging/restaging was performed.

RESULTS:

Cases included 20 invasive epithelial tumors, 11 borderline tumors, and 5 nonepithelial tumors. Mean number of peritoneal biopsies, paraaortic nodes, and pelvic nodes were 6, 12.23, and 14.84, respectively. Eighty-three percent of the patients had laparoscopic omentectomy. On final pathology, 7 patients were upstaged. Postoperative complications included 1 small bowel obstruction, 2 pelvic lymphoceles, and 1 lymphocele cyst. Mean duration of follow-up is 55.9 months. Three patients had recurrences. All patients are alive without evidence of the disease.

CONCLUSION:

This represents 1 of the largest series and longest follow-ups of laparoscopic staging for early-stage adnexal tumors. Laparoscopic staging of these cancers appears to be feasible and comprehensive without compromising survival when performed by gynecologic oncologists experienced with advanced laparoscopy.

PMID:
19019337
DOI:
10.1016/j.ajog.2008.08.013
[Indexed for MEDLINE]

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