Year: 2015
Type: article
Abstract: Laparoscopy is usually undertaken in young women with adnexal disease that is believed to be benign, but found to be malignant at surgery.Some surgeons use laparascopy for staging, but mainly for presumed stage I or II ovarian cancer.Also, laparoscopy can be useful for selecting women who can be optimally debulked at primary surgery.There are some concerns about using laparoscopic approach in women with ovarian cancer: port-site metastasis, possibility of intraoperative rupture of tumor and eff ect of pneumoperitoneum.Studies showed that rate of port-site metastasis after laparoscopic surgery in women with ovarian cancer is low and usually occurs when there is peritoneal carcinomatosis or distant metastatic disease.Also, it seems that laparoscopy with CO(2) pneumoperitoneum does not reduce the overall survival in women with intraabdominal metastases.Preoperative rupture, surface capsular invasion and positive peritoneal cytology are more relevant in terms of prognosis than intraoperative rupture, but further research is needed.Conventional laparoscopy and robotic-assisted laparoscopy are comparable in both early and advanced disease.These approaches are not inferior to laparotomy and they are acceptable access in selected patients.
Language: English
Subfield: Oncology
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W2771559574