Laparoscopy-assisted supracervical hysterectomy for ovarian cancer: cervical recurrence.
OBJECTIVE
The purpose of our study is to evaluate the incidence of cervical recurrence after laparoscopic supracervical hysterectomy for ovarian cancer debulking or staging.


METHODS
From a prospective surgical database, we identified 51 cases of laparoscopic supracervical hysterectomy for ovarian cancer debulking or staging. No cases were excluded.


RESULTS
From 2009 to 2012, 51 patients were identified. The median age was 62 years (range, 32-83 years), and the median body mass index was 29 kg/m2 (range, 16-41 kg/m2). Medical comorbidities were present in 40 patients (78%), and 53% had prior abdominal surgery. The median operative time was 2 hours (range, 1-3.5 hours), and the median blood loss was 200 mL (range, 50-900 mL). The median length of stay was 1 day (range, 0-12 days). The stage was I in 12 patients, II in 6, and III/IV in 33. At a median follow-up time of 1.7 years (range, 0.3-2.6 years), 20 patients (39%) had recurrence of cancer, with a median time of recurrence of 1.1 years (range, 0.3-2.3 years). All recurrences were in the abdomen or pelvis except for 1 axillary node recurrence and 1 recurrence in the distal vagina. There were no recurrences in the remaining cervical stump. No patient had a postoperative vaginal cuff infection. Among the 104 cycles of intraperitoneal chemotherapy, there was no vaginal leakage of intraperitoneal chemotherapy.


CONCLUSIONS
Laparoscopic supracervical hysterectomy for ovarian cancer debulking or staging does not result in cervical recurrence.
Department of Obstetrics and Gynecology, Penn State Hershey Medical Center, Hershey, PA, USA.
James
J
Fanning
Department of Obstetrics and Gynecology, Penn State Hershey Medical Center, Hershey, PA, USA.
Joshua
J
Kesterson
Department of Obstetrics and Gynecology, Penn State Hershey Medical Center, Hershey, PA, USA.
Andrea
A
Benton
Department of Obstetrics and Gynecology, Penn State Hershey Medical Center, Hershey, PA, USA.
Sara
S
Farag
Department of Obstetrics and Gynecology, Penn State Hershey Medical Center, Hershey, PA, USA.
Katherine
K
Dodson-Ludlow
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000379:methods*; D010535:Laparoscopy / Q000379:methods*; D008875:Middle Aged; D010051:Ovarian Neoplasms / Q000601:surgery*; D011446:Prospective Studies; D016896:Treatment Outcome; D014621:Vagina
Laparoscopic supracervical hysterectomy; Ovarian cancer; Subsequent cervical metastases