Laparoscopic management of malignant ovarian cysts: a 78-case national survey. Part 2: Follow-up and final treatment.
This paper reports a retrospective multi-institutional French survey carried out in 1992 to determine the incidence of laparoscopic management of malignant ovarian cysts. Of 5307 ovarian lesions treated endoscopically, 78 were malignant (1.47%) including 60 borderline tumours (77%) and 18 ovarian cancers (23%). Laparoscopic treatment was puncture in 23% of cases, partial exeresis in 51% and total removal in 26%. Laparotomy was immediately performed in 25% of the cases and as a second stage procedure in 58% (mean delay: 78 days). Laparotomy was not performed in 16% of the cases. Our findings suggest that laparoscopic management of ovarian lesions that subsequently prove to be malignant is not uncommon. To prevent the risk of metastasis, thorough pre-operative and per-operative evaluation is mandatory. In 22.4% of the patients presenting lesions in this study, laparoscopic tampering resulted in an upgrading of FIGO stage.
Blanc
B
B
Service de Gynécologie Obstétrique B, Hôpital de la Conception, Marseille, France.
D'Ercole
C
C
Nicoloso
E
E
Boubli
L
L
D005260:Female; D005602:France; D006306:Health Surveys; D006801:Humans; D010535:Laparoscopy / Q000706:statistics & numerical data; D007813:Laparotomy; D009364:Neoplasm Recurrence, Local; D009367:Neoplasm Staging; D010048:Ovarian Cysts / Q000473:pathology / Q000601:surgery*; D010051:Ovarian Neoplasms / Q000473:pathology / Q000601:surgery*; D012189:Retrospective Studies