The feasibility of comprehensive staging surgery via laparoscopic operation in patients with ovarian cancer and its clinical significance
10.3781/i.issn.l000-7431.2014.01.009
- Author:
Zheng-Mao ZHANG
1
Author Information
1. Department of Gynecology, Fourth Hospital of Hebei Medical University
- Publication Type:Journal Article
- Keywords:
Comprehensive staging surgery;
Laparoscope;
Ovarian neoplasms
- From:
Tumor
2014;34(1):55-59
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To explore the feasibility and safety of comprehensive staging surgery via laparoscopic operation and its clinical significance. Methods: A retrospective analysis of medical records was conducted in 35 inpatients diagnosed of ovarian cancer (stage I, n = 29; stage II, n = 4; stage III, n = 2) in Department of Gynecology of Fourth Hospital of Hebei Medical University between January 2010 and January 2013. Of the 35 patients, 15 underwent comprehensive staging operation via laparoscopic operation and 20 via open operation. The general conditions during and after operation and the postoperative survival were observed and compared between the two groups. Results: All operations completed successfully in 15 patients in the laparoscopic operation group, and no perioperative complications were observed. The intraoperative blood loss and the rate of postoperative analgesia in the laparoscopic operation group were both less than those in the open operation group (P < 0.05), but the differences in duration of operation, number of abdominal and pelvic lymph nodes resected, recovery time of gastrointestinal function, rate of postoperative complications, rate of postoperative recurrence, rate of increase in pathological stage, hospitalization expenses, duration of hospital stay after operation and the rate of chemotherapy after operation were not statistically significant between the two groups (P > 0.05). There was also no significant difference in the cumulative survival rate between the two groups (P > 0.05). Conclusion: Comprehensive staging operation for ovarian cancer especially for early-stage cancer is feasible and safe. It has the merits of smaller wound, less blood loss during the operation and more rapid recovery. Copyright© 2014 by TUMOR.
