Single-port versus conventional multiport access prophylactic laparoscopic bilateral salpingo-oophorectomy in high-risk patients for ovarian cancer: a comparison of surgical outcomes

被引:18
作者
Angioni, Stefano [1 ]
Pontis, Alessandro [1 ]
Sedda, Federica [1 ]
Zampetoglou, Theodoros [2 ]
Cela, Vito [3 ]
Mereu, Liliana [4 ]
Litta, Pietro [5 ]
机构
[1] Univ Cagliari, Dept Surg Sci, Cagliari, Italy
[2] Iaso Thessalia Hosp, Obstetr & Gynecol, Larisa, Greece
[3] Univ Pisa, Dept Obstet & Gynecol, Pisa, Italy
[4] Osped S Chiara, Trento, Italy
[5] Univ Padua, Dept Obstet & Gynecol, Padua, Italy
关键词
prophylactic salpingectomy; single-port access laparoscopy; BRCA carriers; ASSISTED VAGINAL HYSTERECTOMY; SURGERY; PATHOGENESIS; EXPERIENCE; PAIN;
D O I
10.2147/OTT.S82570
中图分类号
Q81 [生物工程学(生物技术)]; Q93 [微生物学];
学科分类号
071005 ; 0836 ; 090102 ; 100705 ;
摘要
Bilateral salpingo-oophorectomy (BSO) in carriers of BRCA1 and BRCA2 mutations is widely recommended as part of a risk-reduction strategy for ovarian or breast cancer due to an underlying genetic predisposition. BSO is also performed as a therapeutic intervention for patients with hormone-positive premenopausal breast cancer. BSO may be performed via a minimally invasive approach with the use of three to four 5 mm and/or 12 mm ports inserted through a skin incision. To further reduce the morbidity associated with the placement of multiple port sites and to improve cosmetic outcomes, single-port laparoscopy has been developed with a single access point from the umbilicus. The purpose of this study was to evaluate the surgical outcomes associated with reducing the risks of salpingo-oophorectomy performed in a single port, while comparing multiport laparoscopy in women with a high risk for ovarian cancer. Single-port laparoscopy-BSO is feasible and safe, with favorable surgical and cosmetic outcomes when compared to conventional laparoscopy.
引用
收藏
页码:1575 / 1580
页数:6
相关论文
共 30 条
[1]   Pain control and quality of life after laparoscopic en-block resection of deep infiltrating endometriosis (DIE) vs. incomplete surgical treatment with or without GnRHa administration after surgery [J].
Angioni, S. ;
Pontis, A. ;
Dessole, M. ;
Surico, D. ;
Nardone, C. De Cicco ;
Melis, I. .
ARCHIVES OF GYNECOLOGY AND OBSTETRICS, 2015, 291 (02) :363-370
[2]  
Angioni S, 2014, Gynecol Oncol Case Rep, V9, P21, DOI 10.1016/j.gynor.2014.05.002
[3]  
Angioni S, 2015, GYNECOL END IN PRESS
[4]  
Angioni S, 2015, EUR J GYNAE IN PRESS
[5]  
Angioni S, J MINIM INVASIVE GYN
[6]   Single-Port Access Laparoscopic Hysterectomy: A Literature Review [J].
Angioni, Stefano ;
Pontis, Alessandro ;
Cela, Vito ;
Nappi, Luigi ;
Mereu, Liliana ;
Litta, Pietro .
JOURNAL OF GYNECOLOGIC SURGERY, 2014, 30 (06) :329-337
[7]   Single Port Access Laparoscopy (SPAL) for endometrioma excision [J].
Angioni, Stefano ;
Mereu, Liliana ;
Maricosu, Giovanni ;
Mencaglia, Luca ;
Melis, Gian Benedetto .
JOURNAL OF ENDOMETRIOSIS AND PELVIC PAIN DISORDERS, 2010, 2 (02) :95-98
[8]   Single-port access laparoscopic assisted vaginal hysterectomy in a case of uterine ventrofixation using a new reusable device [J].
Angioni, Stefano ;
Maricosu, Giovanni ;
Mereu, Liliana ;
Mencaglia, Luca ;
Melis, Gian Benedetto .
JOURNAL OF OBSTETRICS AND GYNAECOLOGY RESEARCH, 2011, 37 (07) :933-936
[9]  
Arai Masami, 2012, Gan To Kagaku Ryoho, V39, P525
[10]   Laparoscopy and Gynecologic Oncology [J].
Cho, Jennifer E. ;
Liu, Connie ;
Gossner, Gabrielle ;
Nezhat, Farr R. .
CLINICAL OBSTETRICS AND GYNECOLOGY, 2009, 52 (03) :313-326