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Research ArticleClinical Studies

Relevance of Laparoscopic Surgery for Ovarian Cancer in Well-selected Patients: A Propensity-matched Comparison With Laparotomy

FLORIANE JOCHUM, GABRIELLE AUBRY, MADELEINE PELLERIN, CAMILLE BILLARD, EMILIE FALLER, THOMAS BOISRAME, LISE LECOINTRE and CHERIF AKLADIOS
Anticancer Research February 2021, 41 (2) 955-965; DOI: https://doi.org/10.21873/anticanres.14849
FLORIANE JOCHUM
1Department of Gynecology, Strasbourg University Hospital, Strasbourg, France;
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  • For correspondence: floriane.jochum@chru-strasbourg.fr
GABRIELLE AUBRY
2Assistance Publique des Hôpitaux de Paris (AP-HP), Department of Gynecological and Breast Surgery and Oncology, Pitié-Salpêtrière University Hospital, Paris, France;
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MADELEINE PELLERIN
1Department of Gynecology, Strasbourg University Hospital, Strasbourg, France;
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CAMILLE BILLARD
1Department of Gynecology, Strasbourg University Hospital, Strasbourg, France;
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EMILIE FALLER
1Department of Gynecology, Strasbourg University Hospital, Strasbourg, France;
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THOMAS BOISRAME
1Department of Gynecology, Strasbourg University Hospital, Strasbourg, France;
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LISE LECOINTRE
1Department of Gynecology, Strasbourg University Hospital, Strasbourg, France;
3I-Cube UMR 7357 – Laboratoire des Sciences de L’ingénieur, de L’informatique et de L’imagerie. Université de Strasbourg, Strasbourg, France;
4Institut Hospitalo-Universitaire (IHU), Institute for Minimally Invasive Hybrid Image-Guided Surgery, Université de Strasbourg, Strasbourg, France
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CHERIF AKLADIOS
1Department of Gynecology, Strasbourg University Hospital, Strasbourg, France;
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Abstract

Background/Aim: This study aimed to evaluate the relevance of laparoscopy in comparison with laparotomy in the management of ovarian cancer in well-selected patients. Patients and Methods: Data of consecutive ovarian cancer patients treated by laparoscopy were matched 1:1 to a cohort of patients operated by laparotomy using a propensity score matching. The inclusion criteria included patients who underwent a complete staging procedure in the early stages and optimal upfront or interval debulking surgery for advanced ovarian cancer. Results: In total, 153 patients were included. Propensity score matching led to the analysis of 41 well-balanced pairs of patients. For a median follow-up of 34.0 [19.0-64.0] months and 38.0 [24.5-75.0] months, respectively, no difference was found between the two groups in regards to overall survival (p=0.28) and disease-free survival (p=0.89). Conclusion: In well-selected patients, laparoscopic surgery may be a safe and effective alternative to laparotomy.

Key Words:
  • Ovarian cancer
  • laparoscopy
  • minimally invasive surgery
  • Received January 4, 2021.
  • Revision received January 19, 2021.
  • Accepted January 20, 2021.
  • Copyright © 2021 International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved.
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Anticancer Research: 41 (2)
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Relevance of Laparoscopic Surgery for Ovarian Cancer in Well-selected Patients: A Propensity-matched Comparison With Laparotomy
FLORIANE JOCHUM, GABRIELLE AUBRY, MADELEINE PELLERIN, CAMILLE BILLARD, EMILIE FALLER, THOMAS BOISRAME, LISE LECOINTRE, CHERIF AKLADIOS
Anticancer Research Feb 2021, 41 (2) 955-965; DOI: 10.21873/anticanres.14849

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Relevance of Laparoscopic Surgery for Ovarian Cancer in Well-selected Patients: A Propensity-matched Comparison With Laparotomy
FLORIANE JOCHUM, GABRIELLE AUBRY, MADELEINE PELLERIN, CAMILLE BILLARD, EMILIE FALLER, THOMAS BOISRAME, LISE LECOINTRE, CHERIF AKLADIOS
Anticancer Research Feb 2021, 41 (2) 955-965; DOI: 10.21873/anticanres.14849
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