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Feasibility of Single-Port Access (SPA) Laparoscopy for Large Ovarian Tumor Suspected to Be Borderline Ovarian Tumor

OBJECTIVES: To compare the surgical, pathological and oncological outcomes of single-port access (SPA) laparoscopy against laparotomy for large ovarian tumor (>15 cm) suspected to be a borderline ovarian tumor (BOT) on preoperative imaging. METHODS: A retrospective review of the patients who unde...

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Autores principales: Kang, Jun-Hyeok, Noh, Joseph J., Jeong, Soo Young, Shim, Jung In, Lee, Yoo-Young, Choi, Chel Hun, Lee, Jeong-Won, Kim, Byoung-Gie, Bae, Duk-Soo, Kim, Hyun-Soo, Kim, Tae-Joong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7526335/
https://www.ncbi.nlm.nih.gov/pubmed/33042851
http://dx.doi.org/10.3389/fonc.2020.583515
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author Kang, Jun-Hyeok
Noh, Joseph J.
Jeong, Soo Young
Shim, Jung In
Lee, Yoo-Young
Choi, Chel Hun
Lee, Jeong-Won
Kim, Byoung-Gie
Bae, Duk-Soo
Kim, Hyun-Soo
Kim, Tae-Joong
author_facet Kang, Jun-Hyeok
Noh, Joseph J.
Jeong, Soo Young
Shim, Jung In
Lee, Yoo-Young
Choi, Chel Hun
Lee, Jeong-Won
Kim, Byoung-Gie
Bae, Duk-Soo
Kim, Hyun-Soo
Kim, Tae-Joong
author_sort Kang, Jun-Hyeok
collection PubMed
description OBJECTIVES: To compare the surgical, pathological and oncological outcomes of single-port access (SPA) laparoscopy against laparotomy for large ovarian tumor (>15 cm) suspected to be a borderline ovarian tumor (BOT) on preoperative imaging. METHODS: A retrospective review of the patients who underwent SPA laparoscopy (SPA Group) or laparotomy (Laparotomy Group) for suspected BOT was performed. Surgical outcomes, including the rates of iatrogenic spillage of tumor contents, and oncological outcomes, such as recurrence-free survival (RFS) and overall survival (OS), were compared between the two groups. Correlation between intraoperative frozen section analysis and permanent pathology results was also assessed. RESULTS: A total of 178 patients underwent surgical treatment for suspected large BOT. Among them, 105 patients with a mean tumor diameter of 20.9 ± 6.5 cm underwent SPA laparoscopy, and the other 73 patients, with a mean tumor diameter 20.2 ± 5.9 cm, underwent laparotomy. The mean operation time did not differ between the two groups (99.1 ± 41.9 min for SPA Group vs. 107.3 ± 35.7 min for Laparotomy Group, p = 0.085). There was no difference in the occurrence of iatrogenic spillage of tumor contents between the groups either (11.4% in the SPA Group vs. 6.8% in the Laparotomy Group, p = 0.381). However, the postoperative complication rates were significantly higher in the Laparotomy Group compared with SPA Group (16.4% vs. 5.7%, p = 0.025). The surgical approach was not associated with the misdiagnosis rates of frozen section analysis (19% in the SPA Group vs. 26% in the Laparotomy Group, p = 0.484). The most common histologic type of the tumors was mucinous in both groups. CONCLUSION: SPA laparoscopy is feasible, safe, and not inferior to laparotomy for surgical treatment of large ovarian tumors that suspected to be BOT on preoperative imaging.
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spelling pubmed-75263352020-10-09 Feasibility of Single-Port Access (SPA) Laparoscopy for Large Ovarian Tumor Suspected to Be Borderline Ovarian Tumor Kang, Jun-Hyeok Noh, Joseph J. Jeong, Soo Young Shim, Jung In Lee, Yoo-Young Choi, Chel Hun Lee, Jeong-Won Kim, Byoung-Gie Bae, Duk-Soo Kim, Hyun-Soo Kim, Tae-Joong Front Oncol Oncology OBJECTIVES: To compare the surgical, pathological and oncological outcomes of single-port access (SPA) laparoscopy against laparotomy for large ovarian tumor (>15 cm) suspected to be a borderline ovarian tumor (BOT) on preoperative imaging. METHODS: A retrospective review of the patients who underwent SPA laparoscopy (SPA Group) or laparotomy (Laparotomy Group) for suspected BOT was performed. Surgical outcomes, including the rates of iatrogenic spillage of tumor contents, and oncological outcomes, such as recurrence-free survival (RFS) and overall survival (OS), were compared between the two groups. Correlation between intraoperative frozen section analysis and permanent pathology results was also assessed. RESULTS: A total of 178 patients underwent surgical treatment for suspected large BOT. Among them, 105 patients with a mean tumor diameter of 20.9 ± 6.5 cm underwent SPA laparoscopy, and the other 73 patients, with a mean tumor diameter 20.2 ± 5.9 cm, underwent laparotomy. The mean operation time did not differ between the two groups (99.1 ± 41.9 min for SPA Group vs. 107.3 ± 35.7 min for Laparotomy Group, p = 0.085). There was no difference in the occurrence of iatrogenic spillage of tumor contents between the groups either (11.4% in the SPA Group vs. 6.8% in the Laparotomy Group, p = 0.381). However, the postoperative complication rates were significantly higher in the Laparotomy Group compared with SPA Group (16.4% vs. 5.7%, p = 0.025). The surgical approach was not associated with the misdiagnosis rates of frozen section analysis (19% in the SPA Group vs. 26% in the Laparotomy Group, p = 0.484). The most common histologic type of the tumors was mucinous in both groups. CONCLUSION: SPA laparoscopy is feasible, safe, and not inferior to laparotomy for surgical treatment of large ovarian tumors that suspected to be BOT on preoperative imaging. Frontiers Media S.A. 2020-09-16 /pmc/articles/PMC7526335/ /pubmed/33042851 http://dx.doi.org/10.3389/fonc.2020.583515 Text en Copyright © 2020 Kang, Noh, Jeong, Shim, Lee, Choi, Lee, Kim, Bae, Kim and Kim. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Oncology
Kang, Jun-Hyeok
Noh, Joseph J.
Jeong, Soo Young
Shim, Jung In
Lee, Yoo-Young
Choi, Chel Hun
Lee, Jeong-Won
Kim, Byoung-Gie
Bae, Duk-Soo
Kim, Hyun-Soo
Kim, Tae-Joong
Feasibility of Single-Port Access (SPA) Laparoscopy for Large Ovarian Tumor Suspected to Be Borderline Ovarian Tumor
title Feasibility of Single-Port Access (SPA) Laparoscopy for Large Ovarian Tumor Suspected to Be Borderline Ovarian Tumor
title_full Feasibility of Single-Port Access (SPA) Laparoscopy for Large Ovarian Tumor Suspected to Be Borderline Ovarian Tumor
title_fullStr Feasibility of Single-Port Access (SPA) Laparoscopy for Large Ovarian Tumor Suspected to Be Borderline Ovarian Tumor
title_full_unstemmed Feasibility of Single-Port Access (SPA) Laparoscopy for Large Ovarian Tumor Suspected to Be Borderline Ovarian Tumor
title_short Feasibility of Single-Port Access (SPA) Laparoscopy for Large Ovarian Tumor Suspected to Be Borderline Ovarian Tumor
title_sort feasibility of single-port access (spa) laparoscopy for large ovarian tumor suspected to be borderline ovarian tumor
topic Oncology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7526335/
https://www.ncbi.nlm.nih.gov/pubmed/33042851
http://dx.doi.org/10.3389/fonc.2020.583515
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