[Significance of laparoscopy in gynaecological oncology: limitations for adnexal tumours].
In the last few decades, the impact and use of laparoscopy for benign adnexal tumours have markedly increased. However, the surgical resection of early-stage ovarian malignoma remains controversial. This review evaluates the importance of laparoscopy in surgery of adnexa and especially of malignant tumours. Certainly, morbidity after laparoscopy is lower, but there is a risk of possibly more restricted staging, rupture of the tumour and port metastases. Analysis showed that the standard treatment of ovarian malignant tumours is laparotomy via a vertical incision, because data on laparoscopy are scarce and prospective, randomized trials for early-stage ovarian cancer are still missing. Staging by laparoscopy is technically feasible, but so far there is no proof of safety.
Wimberger
Pauline
P
Klinik fur Frauenheilkunde und Geburtshilfe, Universitatsklinikum Essen, Hufelandstrasse 55, Essen, Germany.
Kimmig
Rainer
R
D005260:Female; D006176:Gynecology / Q000639:trends*; D006801:Humans; D010535:Laparoscopy / Q000706:statistics & numerical data* / Q000639:trends; D008495:Medical Oncology / Q000639:trends*; D014594:Uterine Neoplasms / Q000473:pathology* / Q000601:surgery*