Laparoscopic intraperitoneal port placement for optimally cytoreduced advanced ovarian cancer.
J Minim Invasive Gynecol
; 18(5): 629-33, 2011.
Article
en En
| MEDLINE
| ID: mdl-21803662
ABSTRACT
STUDY OBJECTIVE:
To evaluate complications of intraperitoneal ports placed laparoscopically as a separate procedure after initial debulking surgery for ovarian, fallopian tube, or primary peritoneal cancer.DESIGN:
A retrospective case series (Canadian Task Force Classification III).SETTING:
Inpatient, academic teaching institution. PATIENTS Female patients of any age, at a single institution, undergoing laparoscopically-assisted intraperitoneal port placement after initial surgery for ovarian, fallopian tube, or primary peritoneal cancer from January 2001 through December 2009.INTERVENTIONS:
Laparoscopically assisted intra-peritoneal port placement. MEASUREMENTS/MAINRESULTS:
Thirty-three ports were successfully placed, with no conversions to laparotomy. Only 2 patients were unable to receive intraperitoneal chemotherapy, and there was 1 major complication (enterotomy) related to port placement. There were 6 cases of port dysfunction (17%); however, in 3 cases the port was replaced and subsequently functioned well. There were 2 cases of port infection necessitating port removal. The majority (81.8%) of patients were able to complete all planned cycles of intraperitoneal chemotherapy.CONCLUSION:
Based on the data from our institution, laparoscopic placement of an intraperitoneal port may be safely performed as a second procedure after initial surgery for stage III ovarian, fallopian tube, or primary peritoneal cancer and provides access for post-operative therapy.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Neoplasias Ováricas
/
Neoplasias Peritoneales
/
Peritoneo
/
Laparoscopía
/
Neoplasias de las Trompas Uterinas
Tipo de estudio:
Observational_studies
/
Risk_factors_studies
Límite:
Female
/
Humans
/
Middle aged
Idioma:
En
Revista:
J Minim Invasive Gynecol
Asunto de la revista:
GINECOLOGIA
Año:
2011
Tipo del documento:
Article
País de afiliación:
Estados Unidos