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Laparoscopic Surgery in Cases of Ovarian Malignancies: An Austria-wide Survey
- Source :
- Gynecologic Oncology; October 1996, Vol. 63 Issue: 1 p57-61, 5p
- Publication Year :
- 1996
-
Abstract
- The purpose of the study was to determine the frequency of discovering a malignant ovarian mass when laparoscopy is used to manage an adnexal mass. A countrywide survey was undertaken in Austria, comprising questions about ovarian malignancy detected or accidentally treated by laparoscopy. The response rate of 66.7% represented a total of 54,198 laparoscopies, 16,601 laparoscopic surgeries on adnexal masses, and 108 cases of ovarian tumors subsequently found to be malignant (96 well-documented). Twenty patients were treated with laparoscopy alone. In 22 cases, laparoscopy was followed by immediate laparotomy. A delayed laparotomy (3–1415 days) was performed in 54 cases. Staging revealed FIGO classifications from stages Ia to IV. The follow-up time ranges from 2 to 220 months. Four recurrences have been reported. Thirteen patients died of tumor progression. Laparoscopic surgery on ovarian malignancies is a rare situation (0.65% of all endoscopic surgeries on adnexal masses). In cases of malignancy, a laparotomy has to be performed to ensure optimal staging and treatment.
Details
- Language :
- English
- ISSN :
- 00908258 and 10956859
- Volume :
- 63
- Issue :
- 1
- Database :
- Supplemental Index
- Journal :
- Gynecologic Oncology
- Publication Type :
- Periodical
- Accession number :
- ejs687253
- Full Text :
- https://doi.org/10.1006/gyno.1996.0278