Taiwanese Journal of Obstetrics and Gynecology
Volume 48, Issue 1 , Pages 9-14, March 2009

The Roles of Laparoscopy in Treating Ovarian Cancer

  • Chyi-Long Lee

      Affiliations

    • Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Linkou Medical Center, Taipei, Taiwan
    • ,
  • Nari Kay

      Affiliations

    • Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Linkou Medical Center, Taipei, Taiwan
    • ,
  • Hsiu-Lin Chen

      Affiliations

    • Mackay Medicine, Nursing and Management College, Taipei, Taiwan
    • ,
  • Chih-Feng Yen

      Affiliations

    • Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Linkou Medical Center, Taipei, Taiwan
    • Graduate Institute of Clinical Medical Sciences, Chang Gung University College of Medicine, Taipei, Taiwan
    • ,
  • Kuan-Gen Huang

      Affiliations

    • Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Linkou Medical Center, Taipei, Taiwan
    • Corresponding Author InformationCorrespondence to: Dr Kuan-Gen Huang, Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Linkou Medical Center, 5, Fu-Hsin Street, Kwei-Shan, Tao-Yuan, Taiwan

Accepted 30 September 2008.

Article Outline

Summary 

Great advances in technology offer meticulous options of minimally invasive surgery to empower the gynecologists to manage patients of early ovarian cancer. Laparoscopy affords improved visualization of the pelvic peritoneum, diaphragm and the deep pelvic structures, and offers many advantages in the avoidance of long abdominal incision, including shorter hospital stay and a more rapid recovery time. Most studies showed that laparoscopy did not compromise the survival and recurrence prognosis in comparison with open abdominal approach of staging surgery. Contrarily, laparoscopy precludes the advantage of open surgery, such as manual examination of the full extent of the bowel and palpation of lymph nodes. Besides, laparoscopy technically hampers the removal of large ovarian mass, and laparoscopic cancer surgery has a potential risk of trocar site metastasis. As the trend shows that laparoscopy has been playing an important role in treating early ovarian cancer, we could expect laparoscopy to become an attractive surgical option in the future for ovarian cancers.

Key Words:  laparoscopy , ovarian cancer , port site metastasis , unexpected malignancies

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PII: S1028-4559(09)60029-2

doi:10.1016/S1028-4559(09)60029-2

Taiwanese Journal of Obstetrics and Gynecology
Volume 48, Issue 1 , Pages 9-14, March 2009

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