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Chinese Journal of Laparoscopic Surgery(Electronic Edition) ›› 2018, Vol. 11 ›› Issue (01): 55-58. doi: 10.3877/cma.j.issn.1674-6899.2018.01.015

Special Issue:

• Original Article • Previous Articles     Next Articles

The safety and feasibility of laparoscopic total staging surgery of stage Ⅰ/Ⅱovarian cancer

Yunfei Wang 1, Haiyang Hu 1, Yingying Gong 1, Linqing Yang 1 , ( )   

  1. 1. Department of Gynecology, Affiliated Hospital of Jining Medical University, Jining 272029, China
  • Received:2017-09-08 Online:2018-02-28 Published:2018-02-28
  • Contact: Linqing Yang
  • About author:
    Corresponding author: Yang Linqing, Email:

Abstract:

Objective

To explore the feasibility and safety of laparoscopic total staging surgery of stage I and Ⅱovarian cancer.

Methods

50 patients treated in Affiliated Hospital of Jining Medical University from Jan.2012 to Jan. 2014 were randomly selected as the research subjects, and divided into the laparoscopic surgery group and laparotomy group with 24 and 26 cases respectively. For the comparision of the two groups, the perioperative period and the postoperative survival were observed. The clinical and pathological indicators were analyzed(The operation time, the amount of bleeding, the length of stay and the number of resected lymph nodes and so on). The independent samples t test was used in the measurement data, and χ2 test was used in count data. Kaplan-Meier method was used to make survival curve. P<0.05 suggested statistically significant.

Results

There was no statistical difference between the two groups in terms of age, time of operation, number of resected lymph nodes, time of postoperative exhaust, clinical stage, histological type and histological differentiation(P> 0.05). Intraoperative blood loss in laparoscopic surgery group was less than the open surgery group [(170.4 ± 35.8) ml vs (263.5 ± 40.0) ml, P< 0.001], and the days of hospital stay in laparoscopic surgery group was less than that in open surgery group [ (9.4 ± 0.7) d vs(13.7 ± 1.1) d, P< 0.001]. As in the part of postoperative self-sensory pain, laparoscopic surgery feel less pain than open surgery group(The rate of postoperative analgesia pump utilization: 0 vs 100%). The 3-year disease-free survival rate and 3-year overall survival rate did not show significant statistical differences between the two groups (P>0.05).

Conclusions

For stage Ⅰ and Ⅱ ovarian cancer, laparoscopic surgery is safety and feasibility, and superior to laparotomy.

Key words: Ovarian cancer, Laparoscopy, Laparotomy

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