RT Journal Article
SR Electronic
T1 Feasibility and Surgical Outcomes of Laparoscopic Metastasectomy in the Treatment of Ovarian Metastases From Gastric Cancer
JF International Journal of Gynecologic Cancer
JO Int J Gynecol Cancer
FD BMJ Publishing Group Ltd
SP 1306
OP 1311
DO 10.1097/IGC.0b013e31822620e3
VO 21
IS 7
A1 Maria Lee
A1 Jiheum Paek
A1 San Hui Lee
A1 Ga Won Yim
A1 Sang Wun Kim
A1 Sunghoon Kim
A1 Jae Hoon Kim
A1 Young Tae Kim
A1 Eun Ji Nam
YR 2011
UL http://ijgc.bmj.com/content/21/7/1306.abstract
AB Objectives: This study aimed to evaluate the feasibility of laparoscopic metastasectomy (LM) in the treatment of ovarian metastases from gastric cancer and to compare the surgical outcomes with patients who underwent open metastasectomy (OM).Methods: The cases of 73 patients who underwent LM (n = 16) or OM (n = 57) were retrospectively reviewed. All patients were diagnosed with gastric cancer and, subsequently, underwent a metastasectomy at Yonsei University Health System between December 2002 and March 2011.Results: Sixteen operations were completed laparoscopically with no conversion to laparotomy. Complete cytoreduction surgery was achievable in 13 patients (81.3%). Operating time, complete cytoreduction, and occurrence of perioperative complications were comparable between the 2 groups. The LM group had less blood loss (25 vs 400 mL, P < 0.0001), earlier return to a general diet (3 vs 4 days, P = 0.005), shorter postoperative hospital stay (4.5 vs 7 days, P < 0.0001), and lower postoperative pain scores after 6, 24, and 48 hours than those in the OM group. There were no operative complications in the LM group.Conclusions: As a surgical treatment for ovarian metastases from gastric cancer, LM is feasible and provides benefits to patients without detrimental effects on the clinical outcomes for selected patients.