Bibliographic Details
| Title: |
Surgical and survival outcomes of laparoscopic staging surgery for patients with stage I ovarian cancer |
| Authors: |
Chyi-Long Lee, Soshi Kusunoki, Chen-Yin Huang, Kai-Yun Wu, Pei-Shan Lee, Kuan-Gen Huang |
| Source: |
Taiwanese Journal of Obstetrics & Gynecology, Vol 57, Iss 1, Pp 7-12 (2018) |
| Publisher Information: |
Elsevier, 2018. |
| Publication Year: |
2018 |
| Collection: |
LCC:Gynecology and obstetrics |
| Subject Terms: |
Ovarian cancer, Overall survival, LASS (Laparoscopic assisted staging surgery), Laparoscopy, Gynecology and obstetrics, RG1-991 |
| More Details: |
Objective: To assess the feasibility and survival outcomes of laparoscopic staging for patients with stage I ovarian cancer. Materials and methods: Consecutive patients who underwent laparoscopic staging surgery for stage I ovarian cancer from January 2002 to December 2014 were evaluated retrospectively by chart review. Results: Twenty-four patients with mean age 43.9 ± 9.9 years and mean body mass index 24.0 ± 3.8 kg/m2 were included, in which 12 (50%) patients were in stage IA and 12 (50%) in stage IC. The histological types included serous in 6 (25%), mucinous in 7 (29.1%), endometrioid in 6 (25%), clear cell in 5 (20.8%) patients. The mean surgical time was 306.4 ± 98.5 min, and the mean blood loss was 204.2 ± 188.6 mL. None of the patients required conversion to laparotomy. The median numbers of resected pelvic and para-aortic lymph nodes were 20 and 4, respectively. One (4.1%) patient encountered bowel injury intraoperatively, and the other 1 (4.1%) patient hydronephrosis postoperatively. The overall survival rate was 95% in the current series in a median follow-up of 31.5 months. Conclusion: Laparoscopic staging surgery performed for early stage ovarian cancer has better long term survival outcomes than the literature report. Laparoscopic treatment by a trained gynecologic oncologist is an ideal alternative for early stage ovarian cancer with the advantage of minimal invasiveness. |
| Document Type: |
article |
| File Description: |
electronic resource |
| Language: |
English |
| ISSN: |
1028-4559 |
| Relation: |
http://www.sciencedirect.com/science/article/pii/S1028455917302966; https://doaj.org/toc/1028-4559 |
| DOI: |
10.1016/j.tjog.2017.12.002 |
| Access URL: |
https://doaj.org/article/631972574add411daa253edff09cd7d7 |
| Accession Number: |
edsdoj.631972574add411daa253edff09cd7d7 |
| Database: |
Directory of Open Access Journals |
