A hybrid technique of combined conventional and robotic-assisted laparoscopy for staging and debulking of early, advanced, and recurrent ovarian, fallopian tube, and primary peritoneal cancer

Nezhat, Farr R.; Khalil, Susan S.; Finger, Tamara N.; Vetere, Patrick F.

doi:10.1007/s10397-013-0813-5

Table 2 Advanced and recurrent ovarian cancer cases

From: A hybrid technique of combined conventional and robotic-assisted laparoscopy for staging and debulking of early, advanced, and recurrent ovarian, fallopian tube, and primary peritoneal cancer

				Procedure
Case	Age	BMI	Disease status	Laparoscopic	Robotic	Other	Pathology	Status of cytoreduction	EBL	ORT	LOS	Complications
1	92	24.7	Advanced	Total omentectomy, lysis of extensive adhesions, enterolysis	Hysterectomy, BSO, pelvic tumor debulking	Cystoscopy	Grade 3 serous carcinoma of the fallopian tube	Optimal to no visible disease	200	362	2	None
2	54	37.2	Advanced	Total omentectomy, lysis of pelvic and upper abdominal adhesions	Hysterectomy, BSO, resection of pelvic implants	Cystoscopy	Grade 3 serous carcinoma, primary peritoneal	Optimal to no visible disease	100	306	2	None
3	50	36.2	Advanced	Total omentectomy, upper abdominal tumor debulking including tumor of hepatic flexure, and transverse colon, diaphragmatic stripping and ablation, appendectomy	Hysterectomy, BSO, pelvic tumor debulking, metastatic lymph node debulking	Cystoscopy, sigmoidoscopy	Grade 3 serous carcinoma of the ovary	Optimal to no visible disease	20	103	3	None
4	75	29.3	Advanced	Total omentectomy, diaphragmatic biopsy	Hysterectomy, BSO, resection of pelvic tumor metastasis, anterior and posterior cul de sac tumor debulking and culdectomy, resection of rectal tumor	Cystoscopy, sigmoidoscopy, inguinal lymph node dissection	Grade 3 serous carcinoma of the ovary	Optimal to no visible disease	400	477	6	None
5	70	27	Advanced	Supracolic omentectomy, upper abdominal and diaphragmatic debulking	Tumor debulking of anterior cul-de-sac and rectosigmoid, hysterectomy, LOA, enterolysis, peritoneal biopsies	Cystoscopy sling procedure	Grade 3 serous carcinoma of the ovary	Optimal to no visible disease	150	454	17	Bowel perforation
6	55	29.1	Recurrent	Aspiration of ascites, lysis of adhesions, enterolysis	Appendectomy, para-aortic lymphadenectomy, tumor debulking		Grade 3 clear cell carcinoma of the ovary	Optimal to no visible disease	100	252	1	None
7	53	32.9	Recurrent	Diaphragmatic biopsy (second look)	Pelvic and para-aortic lymphadenectomy, lysis of adhesions, peritoneal biopsies.	Cystoscopy	Grade 3 serous carcinoma of the ovary	N/A	100	226	2	None
8	39	25	Recurrent	Peritoneal biopsies, diaphragmatic biopsy, aspiration of ascites, upper abdominal tumor and diaphragmatic tumor debulking	Pelvic tumor debulking, lysis of adhesions.	Cystoscopy, sigmoidoscopy, insertion of IP port	Grade 1 mucinous adenocarcinoma of the ovary	Optimal to less than 0.5 cm	100	317	3	port-site cellulitis, peritoneal vaginal fistula
9	70	35.4	Recurrent	Omentectomy, appendectomy	Lysis of extensive pelvic adhesions, upper vaginectomy, pelvic tumor debulking, peritoneal biopsies	Cystoscopy	Grade 3 serous carcinoma of the ovary	Optimal to no visible disease	100	212	1	None
10	63	27.5	Recurrent	Lysis of severe upper abdominal adhesions, resection of porta hepatis mass, cholecystectomy, supracolic omentectomy	Pelvic and para-aortic lymphadenectomy, lysis of adhesions, peritoneal biopsies	Cystoscopy	Grade 3 serous carcinoma of the ovary	Optimal to no visible disease	50	322	3	None
11	82	22.1	Advanced	Infracolic omentectomy	Hysterectomy, BSO, bilateral pelvic lymphadenectomy, appendectomy	Cystoscopy	Grade 3 serous carcinoma of the ovary	Optimal to no visible disease	100	238	2	None

BMI body mass index, EBL estimated blood loss, ORT operating room time, LOS length of stay, BSO bilateral salpingo-oopherectomy, IP port intraperitoneal port, FIGO International Federation of Gynecology and Obstetrics

Back to article page