title: Laparoscopic management of early ovarian and fallopian tube cancers: surgical and survival outcome.
abstract: OBJECTIVE
  To evaluate the role of laparoscopy for staging of early ovarian cancers.
  
  
  METHODS
  Case series conducted at the University Hospital with 36 patients who had presumed early-stage adnexal cancers. Laparoscopic staging/restaging was performed.
  
  
  RESULTS
  Cases included 20 invasive epithelial tumors, 11 borderline tumors, and 5 nonepithelial tumors. Mean number of peritoneal biopsies, paraaortic nodes, and pelvic nodes were 6, 12.23, and 14.84, respectively. Eighty-three percent of the patients had laparoscopic omentectomy. On final pathology, 7 patients were upstaged. Postoperative complications included 1 small bowel obstruction, 2 pelvic lymphoceles, and 1 lymphocele cyst. Mean duration of follow-up is 55.9 months. Three patients had recurrences. All patients are alive without evidence of the disease.
  
  
  CONCLUSIONS
  This represents 1 of the largest series and longest follow-ups of laparoscopic staging for early-stage adnexal tumors. Laparoscopic staging of these cancers appears to be feasible and comprehensive without compromising survival when performed by gynecologic oncologists experienced with advanced laparoscopy.
authors.affiliation: Division of Gynecologic Oncology, Minimally Invasive Surgery and Gynecologic Robotics, Department of Obstetrics and Gynecology, St Luke's-Roosevelt Hospital Center, New York, NY 10019, USA. fnezhat@chpnet.org
authors.forename: Farr R
authors.initials: FR
authors.lastname: Nezhat
authors.forename: Mohammad
authors.initials: M
authors.lastname: Ezzati
authors.forename: Linus
authors.initials: L
authors.lastname: Chuang
authors.forename: Alireza A
authors.initials: AA
authors.lastname: Shamshirsaz
authors.forename: Jamal
authors.initials: J
authors.lastname: Rahaman
authors.forename: Herb
authors.initials: H
authors.lastname: Gretz
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005185:Fallopian Tube Neoplasms / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods; D008875:Middle Aged; D009367:Neoplasm Staging; D010051:Ovarian Neoplasms / Q000473:pathology / Q000601:surgery*; D012189:Retrospective Studies; D055815:Young Adult