Clinical comparison of robotic-assisted and traditional laparoscopic operations in the treatment of early stage ovarian cancer / 中国癌症杂志

Background and Purpose: With the rapid development of minimally invasive technique, robotic surgery is widely used in the gynecological surgery. This study aimed to compare the clinical data of roboticassisted laparoscopy and laparotomy in the treatment of early ovarian cancer. Methods: A total of 22 patients with early ovarian cancer receiving stage Ⅰ operation between Jan. 2015 and Dec. 2016 in Jilin Province Tumor Hospital were randomly divided into two groups: 8 patients received robotic-assisted surgery (robotic-assisted laparoscopic group), 14 patients received laparotomy (laparotomy group). Results: All patients underwent successful operation without changing surgical approach. The operation time in robotic-assisted laparoscopic group was longer than that in laparotomy group [(194.50±10.90) min vs (178.71±10.58) min, P＜0.05]. Blood loss volume [(60.10±8.88) mL vs (73.71±12.99) mL], 24 hours postoperative drainage volumes of robotic-assisted laparoscopic group were less than those in laparotomy group [(96.88±10.21) mL vs (108.00±11.43) mL, P＜0.05]. Others had no statistical significance (P＞0.05). Conclusion: In the clinical treatment of early ovarian cancer, there is no difference between robotic-assisted laparoscopic operation and laparotomy. Robotic-assisted laparoscopic operation is worthy of clinical promotion and application.

Laparoscoic cytooreductio and surgical statement in early stage ovarian cancer: case report / Citorredução laparoscópica em câncer de ovário precoce: relato de caso

câncer de ovário é geralmente doença assintomática, quase sempre diagnosticada em estádios avançados e geralmente resulta em morte. Mais raramente, o diagnóstico é realizado em estádio inicial (câncer de ovário precoce)por ultrassonografia pélvica. O tratamento curativo clássico tanto para casos precoces quanto avançados tem sidoa cirurgia citorredutora por laparotomia. Entretanto, o papel da abordagem laparoscópica no tratamento de tumores malignos está aumentando em virtude dos seus muitos benefícios. Os autores apresentam um caso de câncer de ovário precoce que foi estadiado e tratado por meio de citorredução laparoscópica ótima com boa evolução pós-operatóriae sem sinais de recorrência aos quatorze meses de seguimento. Em suma, o acesso laparoscópico para realização de citorredução ótima no câncer de ovário precoce representa excelente escolha. Boa experiência da equipe cirúrgica pode permitir que o acesso laparoscópico seja uma opção factível, segura e eficaz no manejo do câncer de ovárioprecoce sem comprometer a radicalidade oncológica.

Ovarian cancer is usually an asymptomatic disease, mostly diagnosed in advanced stages chance and that generally results in death. More rarely, the diagnosis is accomplished in initial stage (early ovarian cancer) by pelvic ultra-sonography. The classical curative treatment either initial or advanced cases has been cytoreductive surgery by laparotomy. However, the role of laparoscopic approach in treating malignant masses is increasing due to its many benefits. The authors present a case of an early ovarian cancer which was both stated and treated by means of anoptimal laparoscopic cytoreduction, with a good post-operative course and no signs of recurrence at fourteen months follow up. Laparoscopic approach to perform an optimal cytoreduction for early ovarian cancer presents an excellent choice of treatment. Good expertise of surgical teams may allow laparoscopic approach to be a feasible, safe andeffective option to the management of early ovarian cancer without comprises the oncologic radicality.