Minimally invasive secondary cytoreduction plus HIPEC for recurrent ovarian cancer: A case series

A. Fagotti, M. Petrillo, B. Costantini, F. Fanfani, V. Gallotta, V. Chiantera, L. C. Turco, C. Bottoni, G. Scambia

Research output: Contribution to journalArticle

Abstract

Objective To analyze the feasibility of laparoscopic/robotic secondary cytoreductive surgery and hyperthermic intraperitoneal intra-operative chemotherapy (SCS + HIPEC) in a retrospective series of isolated platinum sensitive recurrent ovarian cancer. Methods We retrospectively evaluated a consecutive series of ovarian cancer patients with isolated platinum sensitive relapse. Isolated relapse was defined as the presence of a single nodule, in a single anatomic site. In all cases the presence of isolated relapse was assessed at pre-operative FDG-PET/CT scan, and confirmed with staging laparoscopy performed immediately before SCS + HIPEC. Results 84 women with platinum sensitive relapse received SCS + HIPEC during a 4-year period. Among them, 10 cases (11.9%) showed isolated relapse and were treated with laparoscopic/robotic SCS + HIPEC. In all cases complete debulking was achieved. In HIPEC treatment, 9 women received cisplatin at 75 mg/m2, and the remaining patient oxaliplatin 460 mg/m2. In 7 patients SCS was performed through the laparoscopic route, and in 3 cases with a robotic approach. The median operative time from skin incision to the end of cytoreductive surgery was 122 min (95-140), estimated blood loss was 50 cm3 (50-100), and the median length of hospital stay was 4 days (3-7). The interval from surgery to adjuvant chemotherapy was 21 days (19-32). No grade 3/4 surgical, metabolic, or hematologic complications occurred. In all cases post-operative FDG-PET/CT scan was negative, and after a median time of 10 months (6-37) from SCS + HIPEC no secondary recurrence was observed. Conclusions Minimally invasive SCS + HIPEC can be safely performed in selected ovarian cancer patients with platinum sensitive isolated relapse.

Original languageEnglish
Pages (from-to)303-306
Number of pages4
JournalGynecologic Oncology
Volume132
Issue number2
DOIs
Publication statusPublished - Feb 2014

Keywords

  • HIPEC
  • Isolated platinum sensitive relapse
  • Laparoscopy
  • Minimally invasive surgery
  • Ovarian cancer
  • Robotic

ASJC Scopus subject areas

  • Obstetrics and Gynaecology
  • Oncology

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  • Cite this

    Fagotti, A., Petrillo, M., Costantini, B., Fanfani, F., Gallotta, V., Chiantera, V., Turco, L. C., Bottoni, C., & Scambia, G. (2014). Minimally invasive secondary cytoreduction plus HIPEC for recurrent ovarian cancer: A case series. Gynecologic Oncology, 132(2), 303-306. https://doi.org/10.1016/j.ygyno.2013.12.028