Analysis of secondary cytoreduction for recurrent ovarian cancer by robotics, laparoscopy and laparotomy

Javier F. Magrina, Rachel L. Cetta, Yu Hui Chang, Gregory Guevara, Paul M. Magtibay

Research output: Contribution to journalArticle

53 Scopus citations

Abstract

Objective: Analysis of perioperative outcomes and survival of patients with recurrent ovarian cancer undergoing secondary cytoreduction by robotics, laparoscopy, or laparotomy. Methods: Retrospective analysis of 52 selected patients with recurrent ovarian cancer undergoing secondary cytoreduction by laparoscopy (9), laparotomy (33) or robotics (10) between January 2006 and December 2010. Comparison was made by a total of 21 factors including age, BMI, number of previous surgeries, tumor type and grade, number of procedures, and 15 types of procedures performed at secondary cytoreduction. Results: For all patients, the mean operating time was 213.8 min, mean blood loss 657.4 ml; and mean hospital stay 7.5 days. Complete debulking was achieved in 75% of patients. Postoperative complications were noted in 36.5% of patients. Overall and progression-free survival at 3-years were 58.8% and 34.1%, respectively. Laparoscopy and robotics had reduced blood loss and hospital stay, while no differences were observed among the three groups for operating time, complications, complete debulking, and survival. Conclusion Selected patients with recurrent ovarian cancer benefit from a laparoscopic or robotic secondary cytoreduction without compromising survival. Robotics and laparoscopy provide similar perioperative outcomes, and reduced blood loss and shorter hospital stay as compared to laparotomy. Laparotomy seems preferable for patients with widespread peritoneal implants, multiple sites of recurrence, and/or extensive adhesions.

Original languageEnglish (US)
Pages (from-to)336-340
Number of pages5
JournalGynecologic oncology
Volume129
Issue number2
DOIs
StatePublished - May 1 2013

Keywords

  • Laparoscopy
  • Laparotomy
  • Ovarian cancer
  • Robotics

ASJC Scopus subject areas

  • Oncology
  • Obstetrics and Gynecology

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