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[LAPAROSCOPIC SURGERY FOR EARLY OVARIAN CANCER: EXPERIENCE AT THE P. A. HERZEN ONCOLOGY RESEARCH INSTITUTE].
- Source :
-
Voprosy onkologii [Vopr Onkol] 2015; Vol. 61 (3), pp. 369-75. - Publication Year :
- 2015
-
Abstract
- For the period from 2003 to 2014 at the Oncogynecology Department laparoscopic surgery for ovarian cancer was performed in 49 patients aged 19 to 76 years. During the surgical interventions special attention was paid to the principles of oncological radicalism and ablastics, the volume of surgery depended on the extent of tumor process, morphological characteristics of tumor, a patient's age and the desire to preserve reproductive function. In 42 (85.7%) cases laparoscopic procedures were conducted to restaging (after non-radical operations in gynecological hospitals). In all 49 patients a histological form of ovarian tumor corresponded to adenocarcinoma. Mean operative time was 140 ± 10,5 minutes, the average blood loss--80,2 ± 14,3 ml. Postoperative complications (bleeding from the omentum) were recorded in 1 (2%) patient, the need for conversion was occurred in 4 (8.2%) cases due to the adhesive process or signs of dissemination. As a result of laparoscopic surgery an increase in staging of disease was fixed in 14 cases (28.6%). Follow-up median was 45 months, relapses occurred in 5 (10.2%) patients. Of 49 patients 2 (4.1%) died from disease progression. Disease-free and overall survival rates were 89.8% and 95.9%, respectively. Thus, data of world literature and our own experience indicate the potential equivalent of laparoscopic and laparotomy approaches in treatment for early ovarian cancer.
- Subjects :
- Academies and Institutes
Adult
Aged
Blood Loss, Surgical
Disease-Free Survival
Female
Follow-Up Studies
Humans
Middle Aged
Moscow epidemiology
Neoplasm Recurrence, Local
Neoplasm Staging
Operative Time
Ovarian Neoplasms mortality
Risk Factors
Survival Rate
Laparoscopy adverse effects
Laparoscopy methods
Laparoscopy statistics & numerical data
Laparotomy adverse effects
Ovarian Neoplasms pathology
Ovarian Neoplasms surgery
Subjects
Details
- Language :
- Russian
- ISSN :
- 0507-3758
- Volume :
- 61
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Voprosy onkologii
- Publication Type :
- Academic Journal
- Accession number :
- 26242147