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Surgical technique for laparoscopic removal of bulky para-aortic nodes without repositioning surgical field during laparoscopic debulking for advanced ovarian cancer

BACKGROUND: In the last years, laparoscopy has been progressively introduced in the management of advanced- stage ovarian cancer (AOC) not only to evaluate tumour resectability, but also to perform primary or interval minimally invasive debulking surgery in selected patients. During laparoscopic deb...

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Autores principales: Puppo, A, Olearo, E, Ceccaroni, M
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Universa Press 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10191706/
https://www.ncbi.nlm.nih.gov/pubmed/35781117
http://dx.doi.org/10.52054/FVVO.14.2.029
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author Puppo, A
Olearo, E
Ceccaroni, M
author_facet Puppo, A
Olearo, E
Ceccaroni, M
author_sort Puppo, A
collection PubMed
description BACKGROUND: In the last years, laparoscopy has been progressively introduced in the management of advanced- stage ovarian cancer (AOC) not only to evaluate tumour resectability, but also to perform primary or interval minimally invasive debulking surgery in selected patients. During laparoscopic debulking for AOC, the need to change the surgical field to treat disease in the upper abdomen can be a time-consuming procedure. OBJECTIVE: To demonstrate feasibility, safety and effectiveness of laparoscopic approach to remove bulky para-aortic nodes in AOC with a 30-degree 3D-endoscope without repositioning the laparoscopic surgical field. MATERIALS AND METHODS: A 51-year-old woman was referred to our centre due to AOC with bulky para-aortic nodes (7 cm polylobate mass at CT-scan). The narrated surgical video article demonstrates the surgical steps for laparoscopic removal of bulky para-aortic nodes with a 30-degree 3D-endoscope, maintaining the vision from the upper abdomen perpendicular to the main axis of the vascular structures for the whole duration of the surgery (“top-bottom” view), without repositioning surgical field. MAIN OUTCOMES MEASURED: Complete laparoscopic excision of disease was achieved. RESULTS: Post-operative course was uneventful. Patient recovered from surgery and was able to start adjuvant chemotherapy within 30 days from surgery. CONCLUSIONS: Repositioning the surgical field to perform para-aortic dissection can be a time-consuming procedure during laparoscopic debulking for ovarian cancer. Laparoscopic removal of bulky para-aortic nodes with a 30-degree 3D-endoscope and “top-bottom view” is feasible, safe and effective
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spelling pubmed-101917062023-05-18 Surgical technique for laparoscopic removal of bulky para-aortic nodes without repositioning surgical field during laparoscopic debulking for advanced ovarian cancer Puppo, A Olearo, E Ceccaroni, M Facts Views Vis Obgyn Video Article BACKGROUND: In the last years, laparoscopy has been progressively introduced in the management of advanced- stage ovarian cancer (AOC) not only to evaluate tumour resectability, but also to perform primary or interval minimally invasive debulking surgery in selected patients. During laparoscopic debulking for AOC, the need to change the surgical field to treat disease in the upper abdomen can be a time-consuming procedure. OBJECTIVE: To demonstrate feasibility, safety and effectiveness of laparoscopic approach to remove bulky para-aortic nodes in AOC with a 30-degree 3D-endoscope without repositioning the laparoscopic surgical field. MATERIALS AND METHODS: A 51-year-old woman was referred to our centre due to AOC with bulky para-aortic nodes (7 cm polylobate mass at CT-scan). The narrated surgical video article demonstrates the surgical steps for laparoscopic removal of bulky para-aortic nodes with a 30-degree 3D-endoscope, maintaining the vision from the upper abdomen perpendicular to the main axis of the vascular structures for the whole duration of the surgery (“top-bottom” view), without repositioning surgical field. MAIN OUTCOMES MEASURED: Complete laparoscopic excision of disease was achieved. RESULTS: Post-operative course was uneventful. Patient recovered from surgery and was able to start adjuvant chemotherapy within 30 days from surgery. CONCLUSIONS: Repositioning the surgical field to perform para-aortic dissection can be a time-consuming procedure during laparoscopic debulking for ovarian cancer. Laparoscopic removal of bulky para-aortic nodes with a 30-degree 3D-endoscope and “top-bottom view” is feasible, safe and effective Universa Press 2022-07-01 /pmc/articles/PMC10191706/ /pubmed/35781117 http://dx.doi.org/10.52054/FVVO.14.2.029 Text en Copyright © 2022 Facts, Views & Vision https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Video Article
Puppo, A
Olearo, E
Ceccaroni, M
Surgical technique for laparoscopic removal of bulky para-aortic nodes without repositioning surgical field during laparoscopic debulking for advanced ovarian cancer
title Surgical technique for laparoscopic removal of bulky para-aortic nodes without repositioning surgical field during laparoscopic debulking for advanced ovarian cancer
title_full Surgical technique for laparoscopic removal of bulky para-aortic nodes without repositioning surgical field during laparoscopic debulking for advanced ovarian cancer
title_fullStr Surgical technique for laparoscopic removal of bulky para-aortic nodes without repositioning surgical field during laparoscopic debulking for advanced ovarian cancer
title_full_unstemmed Surgical technique for laparoscopic removal of bulky para-aortic nodes without repositioning surgical field during laparoscopic debulking for advanced ovarian cancer
title_short Surgical technique for laparoscopic removal of bulky para-aortic nodes without repositioning surgical field during laparoscopic debulking for advanced ovarian cancer
title_sort surgical technique for laparoscopic removal of bulky para-aortic nodes without repositioning surgical field during laparoscopic debulking for advanced ovarian cancer
topic Video Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10191706/
https://www.ncbi.nlm.nih.gov/pubmed/35781117
http://dx.doi.org/10.52054/FVVO.14.2.029
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