Laparoscopic staging of early ovarian cancer

Gynecol Oncol. 1995 Sep;58(3):301-6. doi: 10.1006/gyno.1995.1234.

Abstract

The relevance of staging in early ovarian carcinoma is reviewed in light of the advances in surgical laparoscopy. Data from the literature suggest that a lymphadenectomy should be performed instead of a sampling. We have realized the former through laparoscopy. In this paper we propose a detailed surgical technique, similar to the laparotomy approach, that ensures an adequate nodal evaluation. Ten patients underwent a completion of staging by laparoscopy, including peritoneal washings for cytology, peritoneal and ovarian biopsies, an infracolic omentectomy, and a lymph node dissection. The use of laparoscopy for staging of early ovarian carcinoma appears to be a valuable alternative to traditional surgical staging.

MeSH terms

  • Adult
  • Antineoplastic Agents / therapeutic use
  • Female
  • Humans
  • Laparoscopy*
  • Laparotomy
  • Lymph Nodes / pathology
  • Lymph Nodes / surgery
  • Middle Aged
  • Neoplasm Staging
  • Ovarian Neoplasms / drug therapy
  • Ovarian Neoplasms / pathology*
  • Postoperative Complications

Substances

  • Antineoplastic Agents