title: Surgical management of non-epithelial ovarian malignancies: advantages and limitations of laparoscopy.
abstract: OBJECTIVE
  To compare open and laparoscopic surgery in the management of non-epithelial ovarian malignancies.
  
  
  METHODS
  Retrospective study from University Hospital of Clermont-Ferrand, France, of 20 patients undergoing surgery for non-epithelial ovarian malignancies. We compared the outcome of 13 open surgeries and 7 laparoscopic surgeries. The main outcome measures were stage and size of the tumor, surgical procedure, hospital stay, adjuvant treatment, follow-up and fertility.
  
  
  RESULTS
  The mean age of the patients and the type of tumor at the time of diagnosis were similar in the two groups but the tumor size was significantly larger in the laparotomy group (14.0cm vs. 6.7cm; p<0.05). Treatment was conservative in 85.6% vs. 61.5% in the laparoscopy and laparotomy groups respectively. Tumor stages were not statistically different in the two groups. The hospital stay was shorter in the laparoscopy group (3.1 days vs. 6.9 days p=0.03) and there were no differences in terms of complications, surgical procedures, number of lymph nodes removed and adjuvant treatment.
  
  
  CONCLUSIONS
  Laparoscopy respecting the usual oncologic principles appears to be a good alternative to laparotomy for the initial management of non-epithelial ovarian malignancies. The limiting factors of this technique remain the tumor size, the tumor stages and the surgeon's experience.
authors: CHU Clermont-Ferrand, CHU Estaing, Department of Obstetrics, Gynecology and Reproductive Medicine, 1 place Lucie Aubrac, 63003 Clermont-Ferrand cedex 1, France; CICE (International Center for Endoscopic Surgery), Faculty of Medicine, Bat 3C, 28 place Henri Dunand, 63000 Clermont-Ferrand, France. Electronic address: asgremeau@chu-clermontferrand.fr.
authors: Anne-Sophie
authors: AS
authors: Gremeau
authors: CHU Clermont-Ferrand, CHU Estaing, Department of Obstetrics, Gynecology and Reproductive Medicine, 1 place Lucie Aubrac, 63003 Clermont-Ferrand cedex 1, France; CICE (International Center for Endoscopic Surgery), Faculty of Medicine, Bat 3C, 28 place Henri Dunand, 63000 Clermont-Ferrand, France.
authors: Nicolas
authors: N
authors: Bourdel
authors: CHU Clermont-Ferrand, CHU Estaing, Department of Obstetrics, Gynecology and Reproductive Medicine, 1 place Lucie Aubrac, 63003 Clermont-Ferrand cedex 1, France; CICE (International Center for Endoscopic Surgery), Faculty of Medicine, Bat 3C, 28 place Henri Dunand, 63000 Clermont-Ferrand, France.
authors: Kris
authors: K
authors: Jardon
authors: CHU Clermont-Ferrand, CHU Estaing, Department of Obstetrics, Gynecology and Reproductive Medicine, 1 place Lucie Aubrac, 63003 Clermont-Ferrand cedex 1, France; CICE (International Center for Endoscopic Surgery), Faculty of Medicine, Bat 3C, 28 place Henri Dunand, 63000 Clermont-Ferrand, France.
authors: Benoit
authors: B
authors: Rabischong
authors: CHU Clermont-Ferrand, CHU Estaing, Department of Obstetrics, Gynecology and Reproductive Medicine, 1 place Lucie Aubrac, 63003 Clermont-Ferrand cedex 1, France; CICE (International Center for Endoscopic Surgery), Faculty of Medicine, Bat 3C, 28 place Henri Dunand, 63000 Clermont-Ferrand, France.
authors: Gérard
authors: G
authors: Mage
authors: CHU Clermont-Ferrand, CHU Estaing, Department of Obstetrics, Gynecology and Reproductive Medicine, 1 place Lucie Aubrac, 63003 Clermont-Ferrand cedex 1, France; CICE (International Center for Endoscopic Surgery), Faculty of Medicine, Bat 3C, 28 place Henri Dunand, 63000 Clermont-Ferrand, France.
authors: Jean-Luc
authors: JL
authors: Pouly
authors: CHU Clermont-Ferrand, CHU Estaing, Department of Obstetrics, Gynecology and Reproductive Medicine, 1 place Lucie Aubrac, 63003 Clermont-Ferrand cedex 1, France; CICE (International Center for Endoscopic Surgery), Faculty of Medicine, Bat 3C, 28 place Henri Dunand, 63000 Clermont-Ferrand, France.
authors: Michel
authors: M
authors: Canis
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D015653:Cystectomy / Q000379:methods; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000379:methods; D010535:Laparoscopy / Q000379:methods; D007902:Length of Stay; D008197:Lymph Node Excision / Q000379:methods; D008875:Middle Aged; D009373:Neoplasms, Germ Cell and Embryonal / Q000601:surgery*; D010051:Ovarian Neoplasms / Q000601:surgery*; D010052:Ovariectomy / Q000379:methods*; D012189:Retrospective Studies; D058994:Salpingectomy / Q000379:methods; D018312:Sex Cord-Gonadal Stromal Tumors / Q000601:surgery*; D016896:Treatment Outcome; D055815:Young Adult
keywords: Laparoscopy; Non-epithelial ovarian malignancies