Laparoscopic Treatment of Bulky Nodes in Primary and Recurrent Ovarian Cancer: Surgical Technique and Outcomes from Two Specialized Italian Centers

(1) Background: Minimally invasive surgery (MIS) represents a feasible approach in early-stage ovarian cancer, while this question is still unsolved for advanced and recurrent disease. (2) Methods: In this retrospective, multicenter study, we present a series of 21 patients who underwent MIS for pri...

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Bibliographic Details
Published in:Cancers 2024-05, Vol.16 (9), p.1631
Main Authors: Daniele, Alberto, Rosso, Roberta, Ceccaroni, Marcello, Roviglione, Giovanni, D'Ancona, Gianmarco, Peano, Elisa, Clignon, Valentino, Calandra, Valerio, Puppo, Andrea
Format: Article
Language:English
Subjects:
Abdomen
Cancer
Cancer therapies
Care and treatment
Chemotherapy
Complications
Coronary vessels
Development and progression
Diseases
Dissection
Homeopathy
Hospitals
Laparoscopic surgery
Laparoscopy
Length of stay
Ligaments
Lymph
Lymphatic diseases
Lymphatic system
Materia medica and therapeutics
Medical treatment
Metastases
Metastasis
Methods
Oncology, Experimental
Ostomy
Ovarian cancer
Patient outcomes
Patients
Postoperative
Relapse
Statistical analysis
Surgery
Surgical techniques
Therapeutics
Veins & arteries
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Summary:(1) Background: Minimally invasive surgery (MIS) represents a feasible approach in early-stage ovarian cancer, while this question is still unsolved for advanced and recurrent disease. (2) Methods: In this retrospective, multicenter study, we present a series of 21 patients who underwent MIS for primitive or recurrent epithelial ovarian cancer (EOC) with bulky nodal metastasis and discuss surgical technique and outcomes in relation to the current literature. (3) Results: Complete cytoreduction at primary debulking surgery was obtained in 86% of cases. No complication occurred in our patients intraoperatively and only 11.1% of our patients experienced grade 2 and 3 postoperative complications. Notably, all the patients with isolated lymph nodal recurrence (ILNR) were successfully treated with a minimally invasive approach with no intra- or postoperative complications. (4) Conclusions: The results of our study are consistent with those reported in the literature, demonstrating that MIS may represent a safe approach in advanced and recurrent EOC with nodal metastasis if performed on selected patients by expert surgeons with an adequate setting and appropriate technique.
ISSN:2072-6694
2072-6694
DOI:10.3390/cancers16091631