Laparoscopic staging of early ovarian cancer.
The relevance of staging in early ovarian carcinoma is reviewed in light of the advances in surgical laparoscopy. Data from the literature suggest that a lymphadenectomy should be performed instead of a sampling. We have realized the former through laparoscopy. In this paper we propose a detailed surgical technique, similar to the laparotomy approach, that ensures an adequate nodal evaluation. Ten patients underwent a completion of staging by laparoscopy, including peritoneal washings for cytology, peritoneal and ovarian biopsies, an infracolic omentectomy, and a lymph node dissection. The use of laparoscopy for staging of early ovarian carcinoma appears to be a valuable alternative to traditional surgical staging.
Pomel
C
C
Département d'obstétrique et de gynécologie et de reproduction humaine, Polyclinique de l'Hôtel-Dieu, Clermont-Ferrand, France.
Provencher
D
D
Dauplat
J
J
Gauthier
P
P
Le Bouedec
G
G
Drouin
P
P
Audet-Lapointe
P
P
Dubuc-Lissoir
J
J
D000328:Adult; D000970:Antineoplastic Agents / Q000627:therapeutic use; D005260:Female; D006801:Humans; D010535:Laparoscopy; D007813:Laparotomy; D008198:Lymph Nodes / Q000473:pathology / Q000601:surgery; D008875:Middle Aged; D009367:Neoplasm Staging; D010051:Ovarian Neoplasms / Q000188:drug therapy / Q000473:pathology*; D011183:Postoperative Complications
D000970:Antineoplastic Agents