Comparison of intraoperative and early postoperative results of patients undergoing laparoscopic versus laparotomic staging surgery for ovarian cancer

IF 0.5 4区 医学 Q4 OBSTETRICS & GYNECOLOGY European journal of gynaecological oncology Pub Date : 2023-01-01 DOI:10.22514/ejgo.2023.087
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Abstract

Thus far, the traditional method of performing staging surgery in ovarian cancer has been laparotomy. Although randomized controlled trials are lacking, minimally invasive options are deemed safe and sufficient for staging and treatment of early-stage ovarian cancer. This study aims to compare the intraoperative and early postoperative outcomes of patients who underwent staging surgery via laparoscopy or laparotomy because of ovarian cancer. This retrospective study was conducted among 37 patients undergoing staging surgery done via laparoscopy (Group 1) or laparotomy (Group 2) between February 2018 and May 2022 at a single center. Intraoperative and early postoperative results were collected. Regarding postoperative complications between the two groups, the formation of lymphoceles and hernias in Group 2 was significantly higher compared to Group 1 (p = 0.019 and p = 0.050, respectively). When these groups were compared regarding Clavien-Dindo classification, Grade 1 complications were high among the laparoscopy group. In contrast, Grade 2, 3A and 3B complications were significantly higher in the laparotomy group (p = 0.002). Regarding hospital stay during the postoperative period, the patients in Group 2 stayed significantly longer compared to Group 1 (p = 0.001). As an alternative to open surgery for diagnosing and staging ovarian cancer, the laparoscopic approach is reliable and can be applied safely to patients. However, more prospective randomized studies are needed to support the obtained data.
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腹腔镜与剖腹分阶段卵巢癌手术患者术中及术后早期疗效比较
迄今为止,对卵巢癌进行分期手术的传统方法是剖腹手术。虽然缺乏随机对照试验,但对于早期卵巢癌的分期和治疗,微创选择被认为是安全且足够的。本研究旨在比较卵巢癌患者经腹腔镜或开腹分期手术的术中及术后早期预后。本回顾性研究于2018年2月至2022年5月在单一中心对37例通过腹腔镜(1组)或剖腹手术(2组)进行分期手术的患者进行。收集术中及术后早期结果。两组术后并发症方面,2组淋巴囊肿和疝的形成明显高于1组(p = 0.019, p = 0.050)。两组比较Clavien-Dindo分级,腹腔镜组1级并发症发生率较高。相比之下,剖腹手术组2级、3A级和3B级并发症发生率明显高于剖腹手术组(p = 0.002)。术后住院时间方面,2组患者的住院时间明显长于1组(p = 0.001)。作为开放手术诊断和分期卵巢癌的替代方法,腹腔镜方法是可靠的,可以安全地应用于患者。然而,需要更多的前瞻性随机研究来支持所获得的数据。
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来源期刊
自引率
25.00%
发文量
58
审稿时长
1 months
期刊介绍: EJGO is dedicated to publishing editorial articles in the Distinguished Expert Series and original research papers, case reports, letters to the Editor, book reviews, and newsletters. The Journal was founded in 1980 the second gynaecologic oncology hyperspecialization Journal in the world. Its aim is the diffusion of scientific, clinical and practical progress, and knowledge in female neoplastic diseases in an interdisciplinary approach among gynaecologists, oncologists, radiotherapists, surgeons, chemotherapists, pathologists, epidemiologists, and so on.
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