title: Laparoscopic second look operation for ovarian cancer: single center experiences.
abstract: We compared the clinical outcomes of laparoscopic surgery with those of laparotomy in second-look operations for ovarian cancer. We retrospectively reviewed the medical records of 35 patients treated between January 2000 and December 2005. They were categorized into two groups: Laparoscopy versus laparotomy group. Among 35 patients, 18 patients (51.4%) were treated with laparoscopy, and 17 patients (48.6%) were treated with laparotomy. There were no statistically significant differences except for hospital stay (laparoscopy vs. laparotomy five days vs. nine days, p < 0.05). Eight patients (44.4%) in the laparoscopy group and six (35.3%) in the laparotomy group were found to be pathologically positive after the second look operation. There were two recurrences (20.0%) in the laparoscopy group and four (36.4%) in the laparotomy group pathologically negative in the second-look operation (p = 0.557). There were no differences in disease-free survival rates (p = 0.705) between the two groups. The second look operation is an ideal method for histologic comfirmation of recurrent or persistent ovarian cancer. Laparoscopic surgery seems a safe and accurate method for the second-look examination, and can also reduce patient discomfort, hospital stay and morbidity associated with laparotomy.
authors.affiliation: Department of Obstetrics and Gynecology, Kyungpook National University, Graduate School of Medicine, Daegu, South Korea.
authors.forename: Dae Gy
authors.initials: DG
authors.lastname: Hong
authors.forename: Nae Yoon
authors.initials: NY
authors.lastname: Park
authors.forename: Gun Oh
authors.initials: GO
authors.lastname: Chong
authors.forename: Young Lae
authors.initials: YL
authors.lastname: Cho
authors.forename: Il Soo
authors.initials: IS
authors.lastname: Park
authors.forename: Yoon Soon
authors.initials: YS
authors.lastname: Lee
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods / Q000706:statistics & numerical data*; D007813:Laparotomy; D008875:Middle Aged; D010051:Ovarian Neoplasms / Q000401:mortality / Q000601:surgery*; D056910:Republic of Korea; D012189:Retrospective Studies; D024162:Second-Look Surgery / Q000295:instrumentation / Q000379:methods*; D013223:Statistics as Topic; D018709:Statistics, Nonparametric; D016019:Survival Analysis; D055815:Young Adult