[Laparoscopic treatment of borderline ovarian tumor: analysis of 54 patients and clinical outcomes].
OBJECTIVE
The aim of this study is to assess the clinical outcomes of laparoscopic treatment of borderline ovarian tumor (BOT).


METHODS
Retrospective analysis of 54 patients treated using a laparoscopic approach for a BOT between January 1984 and January 2002.


RESULTS
A conservative management was initially performed in 45 patients (83%). Twenty-six patients underwent a reassessment surgery and 7 (27%) of them were upstaged following this procedure. Seven (13%) patients recurred in a remaining ovary following conservative surgery (5 patients) or on the peritoneum (2 patients). Three port-site localizations were observed. None of the patients treated with conservative management had recurrent disease under the form of ovarian carcinoma. Nine spontaneous pregnancies were observed in 6 patients from a group of 19 patients desiring pregnancy. All patients are today alive and disease-free.


CONCLUSIONS
Our study suggests that laparoscopic treatment could be safely performed in young patients with early stage BOT. Such procedure should be further evaluated in patients with BOT and peritoneal implants.
Camatte
S
S
Service de chirurgie, institut Gustave-Roussy, Villejuif, France.
Deffieux
X
X
Castaigne
D
D
Thoury
A
A
Fourchotte
V
V
Pautier
P
P
Lhommé
C
C
Duvillard
P
P
Morice
P
P
D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D010535:Laparoscopy; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000453:epidemiology; D010051:Ovarian Neoplasms / Q000601:surgery*; D011247:Pregnancy; D012189:Retrospective Studies; D024162:Second-Look Surgery; D016896:Treatment Outcome