The safety and efficacy of laparoscopic surgical staging of apparent stage I ovarian and fallopian tube cancers Journal Article
| Authors: | Chi, D. S.; Abu-Rustum, N. R.; Sonoda, Y.; Ivy, J.; Rhee, E.; Moore, K.; Levine, D. A.; Barakat, R. R. |
| Article Title: | The safety and efficacy of laparoscopic surgical staging of apparent stage I ovarian and fallopian tube cancers |
| Abstract: | Objective: To compare the safety and efficacy of laparoscopic staging of ovarian or fallopian tube cancers to staging via laparotomy for epithelial ovarian carcinoma. Study design: We performed a case-control study of all patients with apparent stage I adnexal cancers who had laparoscopic staging from October 2000 to March 2003. The control group consisted of all patients with apparent stage I epithelial ovarian carcinoma who had staging via laparotomy during the same time period. Results: Staging was laparoscopic in 20 patients and via laparotomy in 30. There were no differences in mean age and body mass index. There were also no differences in omental specimen size and number of lymph nodes removed. Estimated blood loss and hospital stay were lower for laparoscopy, but operating time was longer. There were no conversions to laparotomy or complications in the laparoscopic group, compared with 3 minor complications in the laparotomy group. Conclusion: In this preliminary analysis, it appears that patients with apparent stage I ovarian or fallopian tube cancer can safely and adequately undergo laparoscopic surgical staging. © 2005 Elsevier Inc. All rights reserved. |
| Keywords: | adult; middle aged; case control study; case-control studies; comparative study; cancer staging; methodology; lymph nodes; neoplasm staging; laparoscopy; laparotomy; lymph node excision; lymphadenectomy; ovarian cancer; ovarian neoplasms; bleeding; pathology; standard; length of stay; evaluation; lymph node; ovary tumor; carcinoma; fallopian tube neoplasms; blood loss, surgical; uterine tube tumor; omentum; laparoscopic staging |
| Journal Title: | American Journal of Obstetrics and Gynecology |
| Volume: | 192 |
| Issue: | 5 SPEC. ISS. |
| ISSN: | 0002-9378 |
| Publisher: | Elsevier Inc. |
| Date Published: | 2005-05-01 |
| Start Page: | 1614 |
| End Page: | 1619 |
| Language: | English |
| DOI: | 10.1016/j.ajog.2004.11.018 |
| PROVIDER: | scopus |
| PUBMED: | 15902166 |
| DOI/URL: | |
| Notes: | --- - "Cited By (since 1996): 58" - "Export Date: 24 October 2012" - "CODEN: AJOGA" - "Source: Scopus" |
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629Barakat -
710Chi -
473Sonoda -
380Levine -
890Abu-Rustum
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