Abstract
Objective: To report feasibility of laparoscopic fertility-sparing staging of border line ovarian tumors (BOTs) by using a laparoendoscopic single-site trocar through a unique transumbilical access. STUDY DESIGN: This study was conducted in our University Hospital. Four young patients, intended to be submitted to benign adnexal cysts enucleation by an innovative laparoendoscopic single-site approach using a multiport trocar inserted through a unique transumbilical access and straight laparoscopic devices, were found to be affected by border line ovarian tumor at intraoperative frozen analysis. Consequently patients were conservatively staged carrying out all the requested procedures in respect of oncologic guidelines and their child bearing desire, using same single-port access approach. Main outcome measures were conversion rate to multiaccess standard laparoscopic technique or to laparotomic approach and evaluation of intraoperative and postoperative-related complications. Results: All the laparoscopic staging procedures were feasible through a single transumbilical access: no conversion to multiaccess standard laparoscopic technique nor laparotomy and no intraoperative or postoperative complications were observed. Mean operative time was 79 minutes. All patients were discharged home on day 1 with complete satisfaction toward cosmetic outcome. Final pathologic analysis confirmed stage FIGO 1A for all cases. The patients are free from recurrence at 10 months follow-up. Conclusions: Laparoendoscopic single-site staging of border line ovarian tumors with preservation of fertility is feasible and effective with standard laparoscopic instruments. More clinical data are needed to confirm these advantages compared with standard multiaccess laparoscopic technique.
| Original language | English |
|---|---|
| Journal | Surgical Laparoscopy, Endoscopy and Percutaneous Techniques |
| Volume | 20 |
| Issue number | 5 |
| DOIs | |
| Publication status | Published - Oct 2010 |
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Keywords
- fertility sparing
- laparoendoscopic single-site surgery
- minimal invasive laparoscopy
- ovarian border line tumor
- Single port access
ASJC Scopus subject areas
- Surgery
Cite this
Laparoendoscopic single-site surgery for fertility-sparing staging of border line ovarian tumors : Initial experience. / Marocco, Francesco; Fanfani, Francesco; Rossitto, Cristiano; Gallotta, Valerio; Scambia, Giovanni; Fagotti, Anna.
In: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques, Vol. 20, No. 5, 10.2010.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Laparoendoscopic single-site surgery for fertility-sparing staging of border line ovarian tumors
T2 - Initial experience
AU - Marocco, Francesco
AU - Fanfani, Francesco
AU - Rossitto, Cristiano
AU - Gallotta, Valerio
AU - Scambia, Giovanni
AU - Fagotti, Anna
PY - 2010/10
Y1 - 2010/10
N2 - Objective: To report feasibility of laparoscopic fertility-sparing staging of border line ovarian tumors (BOTs) by using a laparoendoscopic single-site trocar through a unique transumbilical access. STUDY DESIGN: This study was conducted in our University Hospital. Four young patients, intended to be submitted to benign adnexal cysts enucleation by an innovative laparoendoscopic single-site approach using a multiport trocar inserted through a unique transumbilical access and straight laparoscopic devices, were found to be affected by border line ovarian tumor at intraoperative frozen analysis. Consequently patients were conservatively staged carrying out all the requested procedures in respect of oncologic guidelines and their child bearing desire, using same single-port access approach. Main outcome measures were conversion rate to multiaccess standard laparoscopic technique or to laparotomic approach and evaluation of intraoperative and postoperative-related complications. Results: All the laparoscopic staging procedures were feasible through a single transumbilical access: no conversion to multiaccess standard laparoscopic technique nor laparotomy and no intraoperative or postoperative complications were observed. Mean operative time was 79 minutes. All patients were discharged home on day 1 with complete satisfaction toward cosmetic outcome. Final pathologic analysis confirmed stage FIGO 1A for all cases. The patients are free from recurrence at 10 months follow-up. Conclusions: Laparoendoscopic single-site staging of border line ovarian tumors with preservation of fertility is feasible and effective with standard laparoscopic instruments. More clinical data are needed to confirm these advantages compared with standard multiaccess laparoscopic technique.
AB - Objective: To report feasibility of laparoscopic fertility-sparing staging of border line ovarian tumors (BOTs) by using a laparoendoscopic single-site trocar through a unique transumbilical access. STUDY DESIGN: This study was conducted in our University Hospital. Four young patients, intended to be submitted to benign adnexal cysts enucleation by an innovative laparoendoscopic single-site approach using a multiport trocar inserted through a unique transumbilical access and straight laparoscopic devices, were found to be affected by border line ovarian tumor at intraoperative frozen analysis. Consequently patients were conservatively staged carrying out all the requested procedures in respect of oncologic guidelines and their child bearing desire, using same single-port access approach. Main outcome measures were conversion rate to multiaccess standard laparoscopic technique or to laparotomic approach and evaluation of intraoperative and postoperative-related complications. Results: All the laparoscopic staging procedures were feasible through a single transumbilical access: no conversion to multiaccess standard laparoscopic technique nor laparotomy and no intraoperative or postoperative complications were observed. Mean operative time was 79 minutes. All patients were discharged home on day 1 with complete satisfaction toward cosmetic outcome. Final pathologic analysis confirmed stage FIGO 1A for all cases. The patients are free from recurrence at 10 months follow-up. Conclusions: Laparoendoscopic single-site staging of border line ovarian tumors with preservation of fertility is feasible and effective with standard laparoscopic instruments. More clinical data are needed to confirm these advantages compared with standard multiaccess laparoscopic technique.
KW - fertility sparing
KW - laparoendoscopic single-site surgery
KW - minimal invasive laparoscopy
KW - ovarian border line tumor
KW - Single port access
UR - http://www.scopus.com/inward/record.url?scp=78149390070&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=78149390070&partnerID=8YFLogxK
U2 - 10.1097/SLE.0b013e3181f271ec
DO - 10.1097/SLE.0b013e3181f271ec
M3 - Article
C2 - 20975495
AN - SCOPUS:78149390070
VL - 20
JO - Surgical Laparoscopy, Endoscopy and Percutaneous Techniques
JF - Surgical Laparoscopy, Endoscopy and Percutaneous Techniques
SN - 1530-4515
IS - 5
ER -