Comparison of Laparoscopy and Laparotomy in the Surgical Management of Early-Stage Ovarian Cancer

Liu, Mubiao PhD, MD; Li, Lei MS, MD; He, Yuanli MS, MD; Peng, Dongxian MS, MD; Wang, Xuefeng PhD, MD; Chen, Wei MS, MD; Fu, Xiafei PhD, MD; Ma, Ying

International Journal of Gynecological Cancer: February 2014 - Volume 24 - Issue 2 - p 352–357
doi: 10.1097/IGC.0000000000000033
Surgeons Corner

Objective: The aim of this study is to investigate the safety and efficacy of laparoscopy in the treatment of early-stage ovarian cancer (EOC).

Methods: We retrospectively analyzed the clinical data of patients who underwent laparoscopy (35 patients) or laparotomy (40 patients) for the comprehensive surgical staging of EOC in Zhujiang Hospital during the period of 2002 to 2010 and compared the 2 surgical approaches in operative time, intraoperative blood loss, number of dissected lymph nodes, tumor rupture rate, length of hospital stay, time of gastrointestinal function recovery, wound healing condition, complication rate, upstaging rate, rate of postoperative chemotherapy, and postoperative follow-up condition.

Results: The laparoscopy group had significantly shorter hospital stay and time of first postoperative flatus and had significantly lower rate of poor wound healing than the laparotomy group. The 2 groups did not show significant differences in operative time, intraoperative blood loss, number of dissected lymph nodes, tumor rupture rate, complication rate, upstaging rate, and rate of postoperative chemotherapy.

Conclusions: Laparoscopy is safe and effective for the comprehensive surgical staging of EOC and has the advantages of shorter hospital stay, faster recovery of gastrointestinal function, and good wound healing.

Department of Gynecology and Obstetrics, Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong, China.

Address correspondence and reprint requests to Liu Mubiao, PhD, MD, Department of Gynecology and Obstetrics, Zhujiang Hospital, Southern Medical University, No.253 GongYe Road, Haizhu District, Guangzhou ,Guangdong, China. E-mail: liumubiao08@163.com.

The authors declare no conflicts of interest.

Received August 19, 2013

Received in revised form September 25, 2013

Accepted October 17, 2013

© 2014 by the International Gynecologic Cancer Society and the European Society of Gynaecological Oncology.