Minimally invasive compared with open surgery in patients with borderline ovarian tumors

Abstract Objective To compare the surgical and oncological outcomes between laparoscopic (single-port or multi-port) and open surgery in the treatment of patients with borderline ovarian tumors (BOTs). Methods A retrospective analysis was performed on 687 patients who underwent single-port laparosco...

Full description

Saved in:
Bibliographic Details
Published in:Gynecologic oncology 2017-06, Vol.145 (3), p.508-512
Main Authors: Song, Taejong, Kim, Min Kyu, Jung, Yong Wook, Yun, Bo Seong, Seong, Seok Ju, Choi, Chel Hun, Kim, Tae-Joong, Lee, Jeong-Won, Bae, Duk-Soo, Kim, Byoung-Gie
Format: Article
Language:English
Subjects:
Adult
Borderline ovarian tumors
Disease-Free Survival
Female
Hematology, Oncology and Palliative Medicine
Humans
Laparoscopy
Laparoscopy - methods
Minimally Invasive Surgical Procedures - methods
Obstetrics and Gynecology
Ovarian Neoplasms - pathology
Ovarian Neoplasms - surgery
Prognosis
Recurrence
Retrospective Studies
Survival
Treatment Outcome
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Abstract Objective To compare the surgical and oncological outcomes between laparoscopic (single-port or multi-port) and open surgery in the treatment of patients with borderline ovarian tumors (BOTs). Methods A retrospective analysis was performed on 687 patients who underwent single-port laparoscopy (n = 89), multi-port laparoscopy (n = 223), or open surgery (n = 375) due to BOTs. Results The age, tumor size, tumor marker, and the proportions of radical surgery rate and surgical staging were significantly lower in the single-port laparoscopy and multi-port laparoscopy groups compared with those in the open surgery group (all P < 0.001). The operative time, operative blood loss, length of hospital stay, and perioperative complications were also significantly reduced in the two laparoscopic groups compared with those in the open surgery group (all P < 0.001). However, there was no significant difference found between the groups with regard to histological type, pathologic stage, and postoperative residual tumor volume. After the median follow-up time of 41.8 months, the recurrence-free survival and overall survival rates did not differ between groups. Conclusion Laparoscopy (either the single-port or multi-port) was a preferred alternative to open surgery in the present cohort of BOT patients because it was associated with more favorable surgical outcomes, with no compromise in oncologic outcome.
ISSN:0090-8258
1095-6859
DOI:10.1016/j.ygyno.2017.03.019