Cœlioscopie et cancer en gynécologie ? Faut-il encore débattre ou seulement convaincre les incrédules ?

Canis, Michel; Mage, G.; Botchorishvili, R.; Wattiez, Arnaud; Rabischong, B.; Houlle, C.; Pouly, Jean Luc; Bruhat, M. A.

doi:10.1016/s1297-9589(01)00243-0

Cited by 14 publications

(3 citation statements)

References 43 publications

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“…Of these, 1214 were excluded based on the title and abstract, and 20 were excluded after a detailed review. Therefore, 21 studies fulfilled the predefined inclusion criteria and were finally included in this meta-analysis (Fig 1) [13–34]. …”

Section: Resultsmentioning

confidence: 99%

“…The pooled results from these 10 studies reporting the NDF included 1070 patients and showed a significant difference favoring the control group (IV: -1.43; 95% CI: [-2.03, -0.84], P<0.00001) (Table 3). Significant heterogeneity was observed (I 2 = 66%); therefore, we excluded 2 studies[13, 30, 31] with the highest contribution to the heterogeneity in the sensitivity analysis, and the result was still statistically significant (IV: -1.17; 95% CI: [-1.51, -0.82], P<0.00001) (Table 4) but with much lower heterogeneity (I 2 = 12%). Thus, we excluded these 2 studies (Fig 2d).…”

Section: Resultsmentioning

confidence: 99%

“…Of the 16 studies[13–18,21–24,26–29,32,33] comparing the NOR between the cystectomy group and the control group, 8[15,17,18,21, 24,26,27,29] favored the control group, whereas 8[13,14,16,22,23,27,32,33] showed no statistical significance. The pooled data from these 16 studies included 2299 patients and showed that significantly fewer oocytes were retrieved in the cystectomy group (IV: -1.78; 95% CI: [-2.39, -1.17], P<0.00001) (Table 3).…”

Section: Resultsmentioning

confidence: 99%

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Weigh the pros and cons to ovarian reserve before stripping ovarian endometriomas prior to IVF/ICSI: A meta-analysis

Tao

Chen

et al. 2017

PLoS ONE

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PurposeTo explore the effects of conservative surgery for endometriomas on ovarian responsiveness during assisted reproductive technology (ART) and provide reproductive and gynecological doctors with a more reliable reference program for the treatment of endometriomas.MethodsA literature search was performed by searching the PubMed, Embase, Cochrane Library, Web of Science and Science Direct databases. Studies with inter- and intra-patient comparisons of ovarian responses and oocyte quality between operated and unoperated ovaries and that met the inclusion criteria were retrieved, and the data from the outcome measures were extracted and pooled for this meta-analysis.ResultsTwenty-one published studies (2649 ART cycles) were included. The total amount of gonadotropin (Gn) used (inverse variance (IV):0.48; 95% confidence interval (CI): [0.13, 1.82], P = 0.0007) was significantly increased in the women with endometriomas who had a history of cystectomy. The estrogen (E) level on the day of hCG administration (IV: -0.29; 95% CI: [-0.41, -0.17], P<0.00001), the number of mature or dominant follicles (IV: -1.17; 95% CI: [-1.51, -0.82], P<0.00001) and the total number of oocytes retrieved (IV: -1.78; 95% CI: [-2.38, -1.17], P<0.00001) were significantly decreased in the women with endometriomas who had a history of cystectomy. The duration of stimulation (IV: 0.02; 95% CI: [-0.09, 0.13], P = 0.77), the total number of formed embryos (IV: -0.06; 95% CI: [-0.17, 0.04], P = 0.25), the pregnancy rate(IV:0.98;95%CI[0.82,1.18], P = 0.83) and the live birth rate(IV:0.93;95%CI[0.70,1.23], P = 0.61)were not statistically different between the two groups. Similar intra-patient results were found in the number of mature or dominant follicles (IV: -0.88; 95% CI: [-1.25, -0.52], P<0.00001) and the total number of oocytes retrieved (IV: -3.48; 95% CI: [-4.77, -2.19], P<0.00001).ConclusionART might be a better therapeutic method for ovarian endometrioma-related infertility than cystectomy.

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Section: Resultsmentioning

confidence: 99%