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Feasibility and efficacy of laparoscopic restaging surgery for women with unexpected ovarian malignancy

Title
Feasibility and efficacy of laparoscopic restaging surgery for women with unexpected ovarian malignancy
Author
배재만
Keywords
Gynecology; Laparoscopy; Lymphadenectomy; Ovarian cancer; Restaging surgery
Issue Date
2015-07
Publisher
ELSEVIER SCIENCE BV
Citation
EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY, v. 193, Page. 46-50
Abstract
Objective: To evaluate the feasibility, surgical outcomes and complications of laparoscopic restaging surgery for women with unexpected ovarian malignancy. Study design: We conducted a retrospective chart review of 14 women with unexpected ovarian malignancy who underwent laparoscopic restaging surgery including peritoneal washing cytology, laparoscopic pelvic and paraaortic lymphadenectomy up to the left renal vein level, omentectomy, and multiple peritoneal biopsies, and hysterectomy except three fertility saving surgery. Results: The median age and median body mass index women were 49 years (range, 22-63) and 24.2 m/kg(2) (range, 18.9-25.3), respectively. The median operating time was 230 min (range, 155-370). The median numbers of harvested pelvic and paraaortic lymph nodes were 26 (range, 6-41) and 18 (range, 2-40), respectively. The median return of bowel activity was 28 h (range, 21-79). Four of the women were upstaged from the initial presumed stage. There were two intraoperative complications, laceration of the inferior vena cava and cisterna chyli rupture. There was one postoperative complication, port-site metastasis. There was no conversion to laparotomic surgery. The median follow-up period was 33 months. Thirteen of the patients have no evidence of recurrences, however one patient died after 22 months after the surgery. Conclusion: Laparoscopic restaging surgery, performed by a specialized laparoscopic oncologist with sufficient laparoscopic experience and a well-trained operating team, is both feasible and effective in the management of unexpected ovarian malignancies. (C) 2015 Elsevier Ireland Ltd. All rights reserved.
URI
http://www.sciencedirect.com/science/article/pii/S0301211515002183http://hdl.handle.net/20.500.11754/26369
ISSN
0301-2115; 1872-7654
DOI
10.1016/j.ejogrb.2015.06.027
Appears in Collections:
COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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