This new energy-based vessel ligation device appears to be effective in advanced laparoscopic gynecologic procedures. Larger studies are needed to evaluate the complication rate and the cost effectiveness of this new technology.
Sequential couplets of cisplatin/topotecan followed by paclitaxel/cisplatin are feasible. The efficacy data in this suboptimal group of patients has encouraged us to proceed with a randomized study based on this approach.
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