Comparison of laparoscopy and laparotomy in the management of early-stage ovarian cancer

The objective of this study was to assess the feasibility of minimally invasive surgery for early-stage ovarian cancer (EOC) by comparing the surgical and survival outcomes between laparoscopy and laparotomy. This was a retrospective, single-center observational study that included all patients who...

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Autores: Garcia, Nuria Ginjaume, Soler Moreno, Cristina, Teixeira, Natalia|||0000-0002-6457-6215, Lloret, Pia Español, Luna-Guibourg, Rocío|||0000-0003-4861-8339, Rovira Negre, Ramon|||0000-0003-4136-4153
Tipo de recurso: artículo
Fecha de publicación:2023
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:303908
Acceso en línea:https://ddd.uab.cat/record/303908
https://dx.doi.org/urn:doi:10.4103/gmit.gmit_99_22
Access Level:acceso abierto
Palabra clave:Comprehensive surgical staging
Early-stage ovarian cancer
Laparoscopy
Laparotomy
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spelling Comparison of laparoscopy and laparotomy in the management of early-stage ovarian cancerGarcia, Nuria GinjaumeSoler Moreno, CristinaTeixeira, Natalia|||0000-0002-6457-6215Lloret, Pia EspañolLuna-Guibourg, Rocío|||0000-0003-4861-8339Rovira Negre, Ramon|||0000-0003-4136-4153Comprehensive surgical stagingEarly-stage ovarian cancerLaparoscopyLaparotomyThe objective of this study was to assess the feasibility of minimally invasive surgery for early-stage ovarian cancer (EOC) by comparing the surgical and survival outcomes between laparoscopy and laparotomy. This was a retrospective, single-center observational study that included all patients who underwent surgical staging for EOC by laparoscopy or laparotomy between 2010 and 2019. Forty-nine patients were included; of which 20 underwent laparoscopy, 26 laparotomy, and three conversion from laparoscopy to laparotomy. No significant differences were observed between the two groups regarding operative time, number of lymph nodes dissected, or intraoperative tumor rupture rate, while estimated blood loss and transfusion requirements were lower in the laparoscopy group. The complication rate tended to be higher in the laparotomy group. Patients in the laparoscopy group had a faster recovery, with earlier urinary catheter and abdominal drain removal, shorter hospital stay, and a trend toward earlier tolerance of oral diet and mobilization. At a mean follow-up of 45.7 months, 14 patients had disease recurrence, with no differences in the mean progression-free survival between the two groups (36 months for laparoscopy vs. 35.5 months for laparotomy, P = 0.22). Laparoscopic surgery performed by a trained gynecological oncologist is a safe and effective surgical approach for comprehensive staging of EOC, with the additional benefits of a faster recovery compared to laparotomy.Universitat Autònoma de Barcelona 22023-01-0120232023-01-01Articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://ddd.uab.cat/record/303908https://dx.doi.org/urn:doi:10.4103/gmit.gmit_99_22reponame:Dipòsit Digital de Documents de la UABinstname:Universitat Autònoma de BarcelonaInglésengopen accesshttp://purl.org/coar/access_right/c_abf2Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra, i la creació d'obres derivades, sempre que no sigui amb finalitats comercials i que es distribueixin sota la mateixa llicència que regula l'obra original. Cal que es reconegui l'autoria de l'obra original.https://creativecommons.org/licenses/by-nc-sa/4.0/info:eu-repo/semantics/openAccessoai:ddd.uab.cat:3039082026-06-06T12:50:31Z
dc.title.none.fl_str_mv Comparison of laparoscopy and laparotomy in the management of early-stage ovarian cancer
title Comparison of laparoscopy and laparotomy in the management of early-stage ovarian cancer
spellingShingle Comparison of laparoscopy and laparotomy in the management of early-stage ovarian cancer
Garcia, Nuria Ginjaume
Comprehensive surgical staging
Early-stage ovarian cancer
Laparoscopy
Laparotomy
title_short Comparison of laparoscopy and laparotomy in the management of early-stage ovarian cancer
title_full Comparison of laparoscopy and laparotomy in the management of early-stage ovarian cancer
title_fullStr Comparison of laparoscopy and laparotomy in the management of early-stage ovarian cancer
title_full_unstemmed Comparison of laparoscopy and laparotomy in the management of early-stage ovarian cancer
title_sort Comparison of laparoscopy and laparotomy in the management of early-stage ovarian cancer
dc.creator.none.fl_str_mv Garcia, Nuria Ginjaume
Soler Moreno, Cristina
Teixeira, Natalia|||0000-0002-6457-6215
Lloret, Pia Español
Luna-Guibourg, Rocío|||0000-0003-4861-8339
Rovira Negre, Ramon|||0000-0003-4136-4153
author Garcia, Nuria Ginjaume
author_facet Garcia, Nuria Ginjaume
Soler Moreno, Cristina
Teixeira, Natalia|||0000-0002-6457-6215
Lloret, Pia Español
Luna-Guibourg, Rocío|||0000-0003-4861-8339
Rovira Negre, Ramon|||0000-0003-4136-4153
author_role author
author2 Soler Moreno, Cristina
Teixeira, Natalia|||0000-0002-6457-6215
Lloret, Pia Español
Luna-Guibourg, Rocío|||0000-0003-4861-8339
Rovira Negre, Ramon|||0000-0003-4136-4153
author2_role author
author
author
author
author
dc.contributor.none.fl_str_mv Universitat Autònoma de Barcelona
dc.subject.none.fl_str_mv Comprehensive surgical staging
Early-stage ovarian cancer
Laparoscopy
Laparotomy
topic Comprehensive surgical staging
Early-stage ovarian cancer
Laparoscopy
Laparotomy
description The objective of this study was to assess the feasibility of minimally invasive surgery for early-stage ovarian cancer (EOC) by comparing the surgical and survival outcomes between laparoscopy and laparotomy. This was a retrospective, single-center observational study that included all patients who underwent surgical staging for EOC by laparoscopy or laparotomy between 2010 and 2019. Forty-nine patients were included; of which 20 underwent laparoscopy, 26 laparotomy, and three conversion from laparoscopy to laparotomy. No significant differences were observed between the two groups regarding operative time, number of lymph nodes dissected, or intraoperative tumor rupture rate, while estimated blood loss and transfusion requirements were lower in the laparoscopy group. The complication rate tended to be higher in the laparotomy group. Patients in the laparoscopy group had a faster recovery, with earlier urinary catheter and abdominal drain removal, shorter hospital stay, and a trend toward earlier tolerance of oral diet and mobilization. At a mean follow-up of 45.7 months, 14 patients had disease recurrence, with no differences in the mean progression-free survival between the two groups (36 months for laparoscopy vs. 35.5 months for laparotomy, P = 0.22). Laparoscopic surgery performed by a trained gynecological oncologist is a safe and effective surgical approach for comprehensive staging of EOC, with the additional benefits of a faster recovery compared to laparotomy.
publishDate 2023
dc.date.none.fl_str_mv 2
2023-01-01
2023
2023-01-01
dc.type.none.fl_str_mv Article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://ddd.uab.cat/record/303908
https://dx.doi.org/urn:doi:10.4103/gmit.gmit_99_22
url https://ddd.uab.cat/record/303908
https://dx.doi.org/urn:doi:10.4103/gmit.gmit_99_22
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by-nc-sa/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by-nc-sa/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Dipòsit Digital de Documents de la UAB
instname:Universitat Autònoma de Barcelona
instname_str Universitat Autònoma de Barcelona
reponame_str Dipòsit Digital de Documents de la UAB
collection Dipòsit Digital de Documents de la UAB
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