1. Comparison of single-port laparoscopy and laparotomy in early ovarian cancer surgical staging
- Author
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Cho, Kyu Hee, Lee, Yeon Ju, Eoh, Kyung Jin, Lee, Yong Jae, Lee, Jung-Yun, Nam, Eun Ji, Kim, Sunghoon, Kim, Young Tae, and Kim, Sang Wun
- Subjects
Reproductive Medicine ,Biomedical and Clinical Sciences ,Clinical Sciences ,Oncology and Carcinogenesis ,Clinical Trials and Supportive Activities ,Patient Safety ,Cancer ,Rare Diseases ,Ovarian Cancer ,Clinical Research ,Cancer staging ,Laparoscopic surgery ,Laparotomy ,Minimal invasive surgery ,Ovary ,Reproductive medicine - Abstract
Objectives The aims of this study were to assess the feasibility of single-port laparoscopic surgical staging (SPLS) in early ovarian cancer and to compare the surgical outcomes of SPLS with those of staging laparotomy.MethodsBetween January 2014 and December 2018, 40 patients underwent SPLS and 41 patients underwent staging laparotomy at Yonsei Cancer Center. The patients were diagnosed with International Federation of Gynecology and Obstetrics (FIGO) stage I ovarian cancer. Variables such as patient age, body mass index (BMI), tumor size, FIGO stage, and perioperative surgical outcomes and survival outcomes of SPLS and laparotomy were compared.ResultsThe total operation time was similar between the 2 groups (SPLS: 201.4 vs. laparotomy: 203.0 minutes, P=0.806). The median tumor diameters in the SPLS and laparotomy groups were 11.0 (2.5-28 cm) and 15.4 (6-40 cm), respectively (P=0.001). The SPLS group had lower tumor spillage rate (5.0% vs. 19.5%, P=0.047), less intraoperative blood loss (102.0 vs. 371.5 mL, P
- Published
- 2021