Role of laparoscopy in predicting surgical outcomes in patients undergoing interval cytoreduction surgery for advanced ovarian carcinoma: A prospective validation study

OBJECTIVE: The objective of this study was to evaluate the safety and efficacy of laparoscopy in detecting inoperable disease in patients undergoing interval cytoreduction (ICR) for advanced ovarian carcinoma (AOC). The primary outcome measured was the performance of laparoscopy-based predictive ind...

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Bibliographic Details
Published in:Indian journal of cancer 2017-07, Vol.54 (3), p.550-555
Main Authors: Tomar, Than, Nair, Rema, Sambasivan, Suchetha, Krishna, K, Mathew, Aleyamma, Iqbal Ahmed M
Format: Article
Language:English
Subjects:
Abdomen
Care and treatment
Chemotherapy
Epidemiology
Gynecology
Laparoscopy
Methods
Oncology
Ovarian cancer
Patients
Performance evaluation
Preoperative care
Surgeons
Surgery
Surgical outcomes
Tomography
Validation studies
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Summary:OBJECTIVE: The objective of this study was to evaluate the safety and efficacy of laparoscopy in detecting inoperable disease in patients undergoing interval cytoreduction (ICR) for advanced ovarian carcinoma (AOC). The primary outcome measured was the performance of laparoscopy-based predictive index value (PIV) score developed by Fagotti et al. The secondary outcomes measured were performance of individual parameters included in PIV score and optimal cytoreduction (OCR) rates in our population. PATIENTS AND METHODS: This is a single-arm, prospective validation trial. Patients undergoing ICR for AOC in our institution were evaluated prospectively with laparoscopy before planned attempt at debulking surgery. Seven laparoscopic parameters included in laparoscopic PIV score were evaluated. Laparoscopic findings were compared with the final outcomes of definitive surgery. OCR was defined as residual disease
ISSN:0019-509X
1998-4774
DOI:10.4103/ijc.IJC_306_17