The utility of hand-assisted laparoscopy in ovarian cancer

Krivak, Thomas C.; Elkas, John C.; Rose, G. Scott; Sundborg, Michael J.; Winter, William E.; Carlson, Jay D.; MacKoul, Paul

doi:10.1016/j.ygyno.2004.09.048

Cited by 45 publications

(22 citation statements)

References 21 publications

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“…Previous data show conflicting conclusions about the effect of intraoperative capsular rupture on the prognosis of ovarian cancer patients, but should still be avoided, as rupture or spillage will upstage the disease and may cause spread of tumor cells in the peritoneal cavity. Handassisted laparoscopic surgery for ovarian cancer patients was previously described by Krivak et al where traditional laparoscopy was combined with placement of a hand intraperitoneally through a 6-7 cm midline vertical incision, providing the surgeon with tactile sensation during the procedure and ability to palpate peritoneal surfaces and retroperitoneal structures [14]. But here we have introduced a hand-assisted robotic staging surgery technique for ovarian cancer with a smaller vertical midline incision that can provide an opening to better wholly remove large ovarian tumor masses.…”

Section: Discussionmentioning

confidence: 99%

Hand-assisted Robotic Approach for Ovarian Cancer Management

Chan¹,

Chiu²,

Chen³

et al. 2016

Adv Robot Autom

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Robotic assisted staging surgery has been increasingly employed for a variety of gynecological malignancies such as ovarian, endometrial, and cervical cancers. Here we demonstrate a hand-assisted robotic approach for managing ovarian cancer with large tumor mass and predominantly solid components, where mini-laparotomy is performed followed by robotic surgical staging procedures. In this retrospective descriptive analysis of 29 ovarian cancer patients, admitted from December 2011 to May 2014, who had a large tumor mass (≥ 7 cm) and received laparoscopic surgical staging, traditional robotic surgical staging or hand-assisted robotic procedures, we reviewed for patient demographics, surgical procedures, and perioperative parameters. The results were comparable and we conclude the hand-assisted robotic approach offers a safe and feasible way to perform ovarian cancer surgical staging for patients with large tumor masses.

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Section: Discussionmentioning

confidence: 99%

Hand-assisted Robotic Approach for Ovarian Cancer Management

Chan¹,

Chiu²,

Chen³

et al. 2016

Adv Robot Autom

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“…17,18 Thorough staging procedures, and optimal cytoreduction, provide both essential prognostic information and confer a survival benefit to those who have microscopic postoperative disease. 19,20 In situations where the ability to achieve an optimal cytoreduction is unlikely, neoadjuvant chemotherapy followed by interval cytoreduction may be appropriate.…”

Section: Discussionmentioning

confidence: 99%

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

Nezhat

DeNoble

Liu

et al. 2010

Journal of Minimally Invasive Gynecology

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“…Spannuth et al [48] reported their experience with HALS compared with laparotomy for the evaluation of pelvic masses and found that those treated with HALS had a lower estimated blood loss, a shorter hospital stay, and fewer postoperative complications. Krivek et al [49] described their use of HALS in the initial treatment of a small number of patients with ovarian cancer. They concluded that this surgical technique was feasible for initial management of some patients with ovarian cancer.…”

Section: Ovarian Cancermentioning

confidence: 99%

Innovative laparoscopic surgery in gynecologic oncology

Kehoe¹,

Ramírez²,

Abu‐Rustum

2007

Curr Oncol Rep

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Minimally invasive surgery has been performed since the early 1990s, and gynecologic oncology surgeons continue to improve their skills for this procedure. Advanced laparoscopic techniques are used to evaluate and treat cervical, endometrial, and ovarian malignancies. Laparoscopy has significant benefits in selected oncologic patients and may be a more useful technique than the abdominal approach. The benefits of laparoscopy include less postoperative pain, less blood loss, shorter length of hospital stay, and a shorter recovery period with no significant increase in complications or morbidity. With emerging data, it appears that the risk of cancer recurrence does not increase with a minimally invasive approach. The incorporation of laparoscopic pelvic and para-aortic lymphadenectomy has expanded the types of procedures performed for the management of certain gynecologic malignancies. New techniques, including hand-assisted laparoscopic procedures and extraperitoneal lymph node dissections, are expanding the role of laparoscopy in the treatment of all gynecologic malignancies.

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The utility of hand-assisted laparoscopy in ovarian cancer

Cited by 45 publications

References 21 publications

Hand-assisted Robotic Approach for Ovarian Cancer Management

Hand-assisted Robotic Approach for Ovarian Cancer Management

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

Innovative laparoscopic surgery in gynecologic oncology

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