Introduction/Background Ovarian cancer is the most deadly gynecological cancer in women worldwide.The 5-year survival rate for those diagnosed in stage I is 90% and in metastatic disease is%25.Staging surgery can be performed by laparotomic or minimally invasive methods today.The aim of this study is to compare the intraoperative and early postoperative results of patients who underwent laparotomic and laparoscopic staging surgery for ovarian cancer.
Methodology This study was a retrospective analysis involving patients with ovarian cancer who underwent laparoscopic or laparotomic staging surgery by a single gynecologist oncologist between February 2018 and May 2022.Patients between the ages of 17–80 who applied to the clinic with a preliminary diagnosis of ovarian cancer, whose postoperative data could be accessed,were included in the study.
Results 37 patients were included in the study.18 patients underwent laparoscopic staging surgery(Group 1);Laparotomic staging surgery was performed in 19 patients(Group 2).There was no statistically significant difference between the groups in terms of ECOG scores,parity,presence of menopause,desire for fertility,history of abdominal surgery and cancer history(p=0.335, p=0.284, p=0.603, p=0.405, p=0.858, p=0.954, respectively).When postoperative complications were compared between the two groups, lymphocele and hernia formation were found to be statistically significantly higher in group 2(p=0.019, p=0.050, respectively).When the groups were compared in terms of Clavien Dindo classification,which classifies surgical complications,while grade 1 complications were significantly higher in the laparoscopy group;grade 2,3A,3B complications were found to be statistically significantly higher in the laparatomy group(p=0.002).When the hospitalization times were compared;the hospitalization time was statistically significantly higher in group 2(p=0.001).
Conclusion The laparoscopic approach,which is an alternative to laparotomic staging surgery in the diagnosis and treatment of ovarian cancer,is a minimally invasive method that can be safely applied in suitable patients.This study showed that the accuracy and efficiency of laparoscopic surgical staging in ovarian cancer is comparable to laparotomy,and surgical outcomes are more favorable than laparotomy.
Disclosures Nothing to disclose.
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