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Professional paper - Review paper
The role of the laparoscopy in ovarian cancer treatment
Libri Oncologici : Croatian Journal of Oncology, 43 (2015), 1-3; 51-54. urn:nbn:hr:220:855551
Puljiz, Mario; Kostić, Lucija; Cindrić, Krunoslav; Alvir, Ilija; Mamić, Ivica; Danolić, Damir; Tomica, Darko

Institutional repository: Repository of the Sestre milosrdnice University Hospital Center

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Puljiz, M., Kostić, L., Cindrić, K., Alvir, I., Mamić, I., Danolić, D. & Tomica, D. (2015). The role of the laparoscopy in ovarian cancer treatment. Libri Oncologici : Croatian Journal of Oncology, 43. (1-3), 51-54. Retrieved from https://urn.nsk.hr/urn:nbn:hr:220:855551

Puljiz, Mario, et al. "The role of the laparoscopy in ovarian cancer treatment." Libri Oncologici : Croatian Journal of Oncology, vol. 43, no. 1-3, 2015, pp. 51-54. https://urn.nsk.hr/urn:nbn:hr:220:855551

Puljiz, Mario, Lucija Kostić, Krunoslav Cindrić, Ilija Alvir, Ivica Mamić, Damir Danolić and Darko Tomica. "The role of the laparoscopy in ovarian cancer treatment." Libri Oncologici : Croatian Journal of Oncology 43, no. 1-3 (2015): 51-54. https://urn.nsk.hr/urn:nbn:hr:220:855551

Puljiz, M., et al. (2015) 'The role of the laparoscopy in ovarian cancer treatment', Libri Oncologici : Croatian Journal of Oncology, 43(1-3), pp. 51-54. Available at: https://urn.nsk.hr/urn:nbn:hr:220:855551 (Accessed 30 November 2024)

Puljiz M, Kostić L, Cindrić K, Alvir I, Mamić I, Danolić D, and sur.. The role of the laparoscopy in ovarian cancer treatment. Libri Oncologici : Croatian Journal of Oncology [Internet]. 2015 [cited 2024 November 30];43(1-3):51-54. Available at: https://urn.nsk.hr/urn:nbn:hr:220:855551

M. Puljiz, et al., "The role of the laparoscopy in ovarian cancer treatment", Libri Oncologici : Croatian Journal of Oncology, vol. 43, no. 1-3, pp. 51-54, 2015. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:220:855551. [Accessed: 30 November 2024]

Metadata
Title (english)The role of the laparoscopy in ovarian cancer treatment
Title (croatian)Uloga laparoskopije u liječenju raka jajnika
AuthorMario Puljiz
AuthorLucija Kostić
AuthorKrunoslav Cindrić
AuthorIlija Alvir
AuthorIvica Mamić
AuthorDamir Danolić
AuthorDarko Tomica
Author's institution(Sestre milosrdnice University Hospital Center)
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Gynecology and Obstetrics
Abstract (english)
Laparoscopy is usually undertaken in young women with adnexal disease that is believed to be benign, but found to be malignant at surgery. Some surgeons use laparascopy for staging, but mainly for presumed stage I or II ovarian cancer. Also, laparoscopy can be useful for selecting women who can be optimally debulked at primary surgery. There are some concerns about using laparoscopic approach in women with ovarian cancer: port-site metastasis, possibility of intraoperative rupture of tumor and effect of pneumoperitoneum. Studies showed that rate of port-site metastasis after laparoscopic surgery in women with ovarian cancer is low and usually occurs when there is peritoneal carcinomatosis or distant metastatic disease. Also, it seems that laparoscopy with CO(2) pneumoperitoneum does not reduce the overall survival in women with intraabdominal metastases. Preoperative rupture, surface capsular invasion and positive peritoneal cytology are more relevant in terms of prognosis than intraoperative rupture, but further research is needed. Conventional laparoscopy and robotic-assisted laparoscopy are comparable in both early and advanced disease. These approaches are not inferior to laparotomy and they are acceptable access in selected patients.
Abstract (croatian)
Laparoskopija se najčešće koristi kod žena za koje se mislilo da imaju benignu bolest, ali se tijekom operacije ispostavilo da se radi o malignoj bolesti. Neki kirurzi koriste laparoskopski pristup za stupnjevanje bolesti i to najčešće za pretpostavljeni I ili II stadij. Također, laparoskopija može biti korisna za odabir žena kojima se može primarno napraviti „debulking“. Postoji nekoliko briga prilikom korištenja laparoskopskog pristupa: pojava metastaza na mjestu ulaska troakara, mogućnost intraoperacijske rupture tumora i učinak pneumoperitoneuma. Studije su pokazale da je udio metastaza na mjestu ulaska troakara nizak i da se najčešće javlja kod žena koje imaju karcinomatozu peritoneuma i udaljene metastaze. Također, čini se da laparoskopija s CO2 pneumoperitoneumom ne smanjuje ukupno preživljenje žena s intraabdominalnim metastazama. Preoperacijska ruptura, površinska invazija kapsule i pozitivan peritonealni ispirak su važniji za prognozu od intraoperacijske rupture, no daljnja istraživanja su potrebna. Konvencionalna i laparoskopija pomoću robota su usporedive i u ranoj i u proširenoj bolesti. Ovi pristupi nisu inferiorni laparotomiji i prihvatljivi su kod odabranih pacijenata.
Keywords (english)
Keywords (croatian)
Languageenglish
Languagecroatian
Publication typeProfessional paper - Review paper
Publication statusPublished
Peer reviewPeer review
Publication versionPublished version
Journal titleLibri Oncologici : Croatian Journal of Oncology
Numberingvol. 43, no. 1-3, pp. 51-54
p-ISSN0300-8142
e-ISSN2584-3826
URN:NBNurn:nbn:hr:220:855551
Publication2015
Document URLhttps://hrcak.srce.hr/189820
Type of resourceText
Access conditionsOpen access
Terms of useLicence Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) icon
Created on2024-06-17 08:01:27