Brief Overview About Role of Laparoscopy in Ovarian Cancer

Abstract

Minimally invasive surgery (MIS) includes several different approaches, such as standard laparoscopy, robotics, mini-laparoscopy, and single-port laparoscopy. Surgeons choose the most appropriate method based on the availability of products, patient characteristics, tumor extension, and the type of surgery needed. The rate of serious complications associated with laparoscopy is low; complications are related mainly to the initial abdominal access and consist most often of vessel and bowel injuries. Proper patient selection, knowledge of surgical anatomy, and attention to appropriate abdominal access techniques may help prevent these complications. Laparoscopy may offer advantages in terms of a shorter hospital stay, decreased perioperative morbidity, lower wound infection and incisional hernia rates, less postoperative pain, and fast healing. Moreover, optical magnification of the abdominal vessels and structures, together with the availability of modern devices such as advanced bipolar, ultrasound instruments and topical hemostatic agents, increases the feasibility of laparoscopy procedures. Specific advantages exist in performing laparoscopy in ovarian cancer: Adjuvant chemotherapy can start sooner because of the minimal time needed for smaller incisions to heal, the risk of adhesion development is lower, it is useful in fertility-sparing cases, and it provides easier access to the retroperitoneum