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- W3105268772 abstract "<h3>Objective</h3> To evaluate the short-term morbidity in Borderline Ovarian Tumor (BOT) patients who underwent laparoscopic (LPS) vs. open abdominal laparotomic (LPT) surgery. <h3>Methods</h3> We retrospectively analyzed data of consecutive patients treated for primary diagnosis of apparent early stage BOT at Del Ponte Hospital (Varese–Italy) between January 2004 and December 2019. Both radical and fertility-sparing treatments were included in our investigation. Demographic characteristics, operative outcomes and 30-day complications were evaluated and compared between the two surgical approaches. <h3>Results</h3> We included data of 128 patients, 84 LPS and 44 LPT. Fifty-seven patients underwent fertility sparing surgery (LPS=31, LPT=26) while 71 patients underwent radical treatment (LPS=53, LPT=18, p=0,17). When comparing LPS vs LPT, median age at surgery was 45,5 vs 59 years old (p<0.001), with 38,09% vs 59,9% patients in menopausal status, respectively (p=0,02). Ten (11,9%) and 14 (31,81%) patients had previous open abdominal/pelvic surgery in the LPS and LPT groups, respectively (p=0,0061). Charlson Comorbidity Index >3 was found in 5 (5,95%) vs. 15 (34,1%) patients (P=0,002). No significant differences were found in terms of parity, previous Caesarean section, previous minimally invasive abdominal/pelvic surgery, and race. Regarding the short-term morbidity, LPS was associated with less blood loss (50 ml vs 200 ml, p=0,01), need for perioperative blood transfusions (0% vs. 6,82%, p=0,005) and in-hospital complications (0% vs. 4,55%, p=0,04). <h3>Conclusions</h3> Because of the favorable surgical outcomes, LPS should be considered the standard surgical approach for the treatment of patients with primary diagnosis of early stage BOT." @default.
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- W3105268772 date "2020-11-01" @default.
- W3105268772 modified "2023-09-27" @default.
- W3105268772 title "341 Surgical morbidity of laparoscopic vs. open surgery for Borderline Ovarian Tumors: a single center analysis" @default.
- W3105268772 doi "https://doi.org/10.1136/ijgc-2020-igcs.293" @default.
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