Laparoscopic Splenectomy for Secondary Cytoreduction in Ovarian Cancer Patients With Localized Spleen Recurrence: Feasibility and Technique

Journal of Minimally Invasive Gynecology
Valerio GallottaGiovanni Scambia

Abstract

To investigate the feasibility of laparoscopic splenectomy in patients with recurrent ovarian cancer with isolated spleen metastasis. (Canadian Task Force classification III). Tertiary referral centre in Rome, Italy. Eight women with an isolated platinum-sensitive splenic relapse of ovarian cancer. Between February 2013 and May 2015, 8 women with an isolated platinum-sensitive splenic relapse of ovarian cancer were submitted to laparoscopic splenectomy. All patients underwent laparoscopic splenectomy without conversion to an open approach. The median estimated intraoperative blood loss was 100 mL (range, 50-200 mL). The median operating room time was 200 minutes (range, 80-275 mL). No intraoperative complication occurred, and no intraoperative blood transfusions were required. The median length of hospital stay was 3 days (range, 2-5 days). Complete tumor resection was achieved in all patients. The median interval from surgery to adjuvant chemotherapy was 16 days (range, 14-24 days). After a median follow-up of 23 months (range, 6-32 months), no secondary recurrence or death of disease has been observed. Our findings indicate that a laparoscopic approach for spleen removal is feasible in selected patients with a splenic relapse...Continue Reading

References

Mar 1, 1993·Radiotherapy and Oncology : Journal of the European Society for Therapeutic Radiology and Oncology·D ChassagneG Michel
Apr 25, 2006·Gynecologic Oncology·Paul M MagtibayKarl C Podratz
Sep 8, 2006·Annals of Surgical Oncology·Natalina ManciPierluigi Bendetti Panici
Feb 24, 2010·International Journal of Colorectal Disease·Sang-Ah HanHo-Kyung Chun
Oct 12, 2010·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Farr R NezhatPrakash Saharia
Apr 16, 2013·American Journal of Obstetrics and Gynecology·Hyun Jong ParkYoung Tae Kim
Jun 26, 2013·American Journal of Obstetrics and Gynecology·Florian HeitzAndreas du Bois

❮ Previous
Next ❯

Citations

Jul 7, 2020·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Thomas A PaternitiRobert W Holloway
Mar 23, 2020·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Payam Katebi KashiRuchi Garg
Aug 24, 2021·Cancer Management and Research·Sheng YinJiarong Zhang

❮ Previous
Next ❯

Related Concepts

Related Feeds

Bacterial Pneumonia (ASM)

Bacterial pneumonia is a prevalent and costly infection that is a significant cause of morbidity and mortality in patients of all ages. Here is the latest research.

Bacterial Pneumonia

Bacterial pneumonia is a prevalent and costly infection that is a significant cause of morbidity and mortality in patients of all ages. Here is the latest research.