The Safety and Efficacy of Laparoscopic Surgical Staging and Debulking of Apparent Advanced Stage Ovarian, Fallopian Tube and Primary Peritoneal Cancers

Laparoscopic Debulking Surgery in the Management of Advanced Ovarian Cancer After Neoadjuvant Chemotherapy

“…It has been demonstrated that a team of skilled surgeons in advanced laparoscopic surgery may perform a laparoscopic management of intestinal, ureteral, or retroperitoneal disease. 16 In our series, no patients presented with bowel or ureteral involvement, but 16 women (53.3%) had a retroperitoneal disease, which was treated with a systematic aortic lymphadenectomy up to the left renal vein, with a relevant number of retrieved lymph nodes. No port-site metastases were noted in our patients.…”

“…Although laparoscopy is a well-accepted treatment of endometrial and cervical cancer, such success is yet to be achieved in treatment of ovarian cancer, particularly for advanced disease. 15,16 In a recent multicenter study, we published one of the largest series on laparoscopic management of early ovarian cancer demonstrating laparoscopy technique as a safe, feasible, and comprehensive treatment. 6 Moreover, recent advances in laparoscopic instruments and techniques have allowed the use of laparoscopy in cytoreduction in advanced ovarian cancer.…”

Comparison of Perioperative Outcomes and Complication Rates Between Conventional Versus Robotic-Assisted Laparoscopy in the Evaluation and Management of Early, Advanced, and Recurrent Stage Ovarian, Fallopian Tube, and Primary Peritoneal Cancer

“…As previously described, the technique of multiple-port operative laparoscopy was utilized. 12,14,15 At completion of surgery, postoperative anticoagulation therapy and between 1 and 2 doses of prophylactic antibiotics were administered in most cases. Cases that were analyzed included all CL and RALS procedures, as well as cases that were converted to laparotomy, for early, advanced, or recurrent ovarian cancer.…”

Unexpected ovarian malignancy following laparoscopic excision of adnexal masses

“…Recently, laparoscopic surgery has been increasingly used for malignant diseases. Although a few studies have reported that laparoscopic surgery might be a feasible means for the management of early-and advanced-stage malignant ovarian tumors (Liu et al, 2009;Nezhat et al, 2010;Park et al, 2013), laparoscopic surgery is more commonly used for cervical and endometrial cancers. The use of laparoscopic surgery for the resection of ovarian tumors appears to be limited because laparoscopic surgery does not allow for full exploration of the abdominal cavity (to search for tumor implants) and because it is associated with the risk of an intraoperative rupture of ovarian cystic masses (Schorge et al, 2012).…”