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. 2010 Jan-Mar;14(1):80-2.
doi: 10.4293/108680810X12674612014707.

Laparoscopic cytoreduction for primary advanced ovarian cancer

James Fanning  1 , Rod Hojat, Jil Johnson, Bradford Fenton
Affiliations

Laparoscopic cytoreduction for primary advanced ovarian cancer

James Fanning et al. JSLS. 2010 Jan-Mar.

Abstract

Introduction: We evaluated the feasibility of laparoscopic cytoreduction for primary advanced ovarian cancer.

Methods: All patients with presumed stage 3/4 primary ovarian cancer underwent attempted laparoscopic cytoreduction. All patients had CT evidence of omental metastasis and ascites. A 5-port (5-mm) transperitoneal approach was used. A bilateral salpingo-oophorectomy, supracervical hysterectomy, and omentectomy were performed with PlasmaKinetic (PK) cutting forceps. A laparoscopic 5-mm Argon-Beam Coagulator was used to coagulate tumor in the pelvis, abdominal peritoneum, intestinal mesentery, and diaphragm.

Results: Nine of 11 cases (82%) were successfully debulked laparoscopically without conversion to laparotomy. Median operative time was 2.5 hours, and median blood loss was 275 mL. All tumors were debulked to <2 cm and 45% had no residual disease. Stages were 1-3B, 7-3C, and 1-4. Median length of stay was one day. Median VAS pain score was 4 (discomforting). Two of 11 patients (18%) had postoperative complications.

Conclusion: Laparoscopic cytoreduction was successful and resulted in minimal morbidity. Because of our small sample size, additional studies are needed.

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