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Role of minimally invasive surgery in complex adnexal tumours and ovarian cancer

World Journal of Obstetrics and Gynecology 2014年第3期3卷 109-117页

作者： Juan Gilabert-Estelles Cristina Aghababyan Paula Garcia Jesus Moscardo Susana Royo silvana aniorte Juan Gilabert-Aguilar Hospital General Universitario de Valencia Department of Pediatrics Obstetrics and Gynecology University of Valencia Hospital Universitario Casa de Salud

Ovarian cancer is one of the most common causes of cancerrelated death in women. Adnexal masses are frequently diagnosed during reproductive age and often require surgical removal. The risk of malignancy when dealing with a complex adnexal mass should be defned prior to surgery and several scoring systems may be useful for this purpose. Laparoscopic management of ovarian tumours allows a minimally invasive approach with respect to several oncological assumptions. In the last decade concerns have been raised regarding the risk of cyst rupture and tumour spillage as a con-sequence of the laparoscopic technique itself both in early and advanced stages of ovarian cancer. Although limited data have been reported in the literature on the use of minimally invasive techniques in ovarian cancer, the clear benefits of this approach must be balanced with the potential hazards in different clinical situations. Laparoscopic staging in borderline tumours and presumed early-stage ovarian cancer performed by a laparoscopic oncologist seems to be safe and effec-tive when compared to laparotomy. The precise role of laparoscopy in patients with more advanced cancer is still to be defned, and the risk of suboptimal surgery should never outweigh the potential benefits of mini-mally invasive surgery. Thus, a tailored prediction of optimal laparoscopic debulking is mandatory in these patients.

关键词： Ovarian cancer Laparoscopy Borderline tumour Adnexal masses

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