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EPV182/#225 Laparoscopic interval debulking surgery for advanced ovarian cancer-single centre experience
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  1. Y Naaman1,
  2. D Neesham1,
  3. A Jones1,
  4. R Mcbain1,
  5. E Vicario1 and
  6. O Mcnally2
  1. 1The Royal Women’s Hospital, Melbourne, Gynaecology-oncology, Parkville, Australia
  2. 2Royal Women’s Hospital, Gynaeoncology Unit, Parkville, Australia

Abstract

Objectives To assess the feasibility and safety of laparoscopic interval debulking surgery for patients with advanced ovarian cancer.

Methods Retrospective case series of laparoscopic interval debulking surgery for selected patients with advanced ovarian cancer (stages III/IV) between October 2017 and October 2020 in our unit.

Results In our series of sixty patients, an Optimal debulking (R<1 cm) was achieved in 55 cases (92%). Conversion to Midline Laparotomy was performed in 2 cases (3%). The mean length of stay was 3.33 days (2–13 days). While the overall complication rate was low, there were 3 cases (5%) of inadvertent transverse colon mesentery injury recognised at the time of omentectomy that necessitated bowel resection. Short term follow-up prognostic outcome is comparable to the reported outcome for laparotomy IDB cases.

Conclusions Laparoscopic IDB in selected cases is feasible and effective in achieving optimal debulking. However, surgeons should be aware of specific possible complications related to this procedure.

http://dx.doi.org/10.1136/ijgc-2021-IGCS.253

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