Feasibility of laparoscopic ovarian tissue cryopreservation after open abdominopelvic tumor surgery.
Am J Surg
; 220(5): 1249-1252, 2020 11.
Article
en En
| MEDLINE
| ID: mdl-32723489
ABSTRACT
BACKGROUND:
Laparoscopic oophorectomy with tissue cryopreservation (OTC) for fertility preservation is usually performed prior to therapy. When fertility preservation is considered after prior open abdominopelvic tumor surgery there may be a perceived barrier to laparoscopic OTC. This study evaluates the feasibility of OTC with a laparoscopic approach after open surgery.METHODS:
This is a single institution retrospective study from 2011 to 2019.RESULTS:
Planned laparoscopic OTC was performed after open surgery in 17 of 113 patients. Median age was 4.2 years. The most common diagnoses were Wilms Tumor (35%) and neuroblastoma (35%). The most common procedures were nephrectomy (41%) and exploratory laparotomy with biopsy (35%). The median amount of time between open surgery and OTC was 29 days. Sixteen (94%) had a laparoscopic OTC. Regardless of operative technique, patients resumed therapy a median of 3 days after OTC.CONCLUSIONS:
Prior abdominopelvic surgery should not be a barrier to OTC. Laparoscopic OTC is feasible after a variety of open oncologic operations, regardless of time-interval between the procedures and without incurring a significant delay in resuming oncologic therapy.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Ovario
/
Neoplasias Pélvicas
/
Ovariectomía
/
Criopreservación
/
Laparoscopía
/
Preservación de la Fertilidad
/
Neoplasias Abdominales
Tipo de estudio:
Observational_studies
Límite:
Adolescent
/
Adult
/
Child
/
Child, preschool
/
Female
/
Humans
/
Infant
/
Newborn
Idioma:
En
Revista:
Am J Surg
Año:
2020
Tipo del documento:
Article