2010
DOI: 10.1016/j.ygyno.2009.09.015
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Should laparoscopy be included in the work-up of advanced ovarian cancer patients attempting interval debulking surgery?

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Cited by 61 publications
(29 citation statements)
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“…When selecting candidates for primary cytoreductive surgery, it is important to identify those in whom laparotomy might be expected to suffice and those in whom laparotomy is likely to result in suboptimal cytoreduction and needless delay of chemotherapy. Diagnostic laparoscopy recently was introduced as a method for assessing the resectability of advanced-stage ovarian cancer with the intention of either proceeding directly to primary cytoreductive surgery or, in the presence of lesions deemed nonresectable, deferring surgery in favor of neoadjuvant chemotherapy (46)(47)(48). However, some anatomic sites are "blind spots" that are inaccessible at laparoscopy, and it is important that the radiologist report any evidence of The falciform ligament directly communicates with the periportal space, which is often involved in disseminated carcinomatosis.…”
Section: Disease That Is Inaccessible With a Laparoscopic Approachmentioning
confidence: 99%
“…When selecting candidates for primary cytoreductive surgery, it is important to identify those in whom laparotomy might be expected to suffice and those in whom laparotomy is likely to result in suboptimal cytoreduction and needless delay of chemotherapy. Diagnostic laparoscopy recently was introduced as a method for assessing the resectability of advanced-stage ovarian cancer with the intention of either proceeding directly to primary cytoreductive surgery or, in the presence of lesions deemed nonresectable, deferring surgery in favor of neoadjuvant chemotherapy (46)(47)(48). However, some anatomic sites are "blind spots" that are inaccessible at laparoscopy, and it is important that the radiologist report any evidence of The falciform ligament directly communicates with the periportal space, which is often involved in disseminated carcinomatosis.…”
Section: Disease That Is Inaccessible With a Laparoscopic Approachmentioning
confidence: 99%
“…In the last decade, some institutions have matched the laparoscopic exploration in order to assess resectability in advanced disease [24, [41][42][43]. Advantages of laparoscopy include magnification of pelvic and abdominal anatomy and enhanced visualization of the peritoneum surface of the upper abdomen, particularly diaphragm.…”
Section: Laparoscopic Explorationmentioning
confidence: 99%
“…Based on a complex statistical analysis (9), the positive appraisal of each variable has been settled as equal to 2, thus leading to a final PIV of between 0 and 14. We demonstrated that the percentage of cases correctly identified as suboptimally resectable (sensitivity) rose with the PIV cut‐off level, and the possibility of a suboptimal surgical result (positive predictive value=PPV) increased up to 100% in with a PIV >8 (9–12). Although the performance of the laparoscopic model has been validated prospectively in a large series of advanced ovarian cancer patients treated by the same surgical team who developed the model, some questions still remain regarding reproducibility, i.e.…”
Section: Introductionmentioning
confidence: 95%
“…In previous studies, we elaborated a laparoscopy‐based score system to predict the chances of complete cytoreduction in advanced ovarian cancer patients (9–12). This system, named predictive index value (PIV), is obtained by summing single scores linked to the presence/absence of some specific cancer features assessed by laparoscopy, such as omental cake, peritoneal and diaphragmatic carcinomatosis, mesenteric retraction, bowel and stomach infiltration, and superficial liver metastases.…”
Section: Introductionmentioning
confidence: 99%