Abstract
The former widely accepted management for patients with epithelial ovarian cancer consisted of three basic components: (1) initial surgery with complete, thorough staging and debulking of advanced disease; (2) combination platinum-based chemotherapy; and (3) surgical reassessment to determine response to initial therapy.1 The role of primary debulking surgery in some subgroups of patients with advanced ovarian carcinoma has been questioned in recent years.2–5 Second-look surgery for ovarian carcinoma has been abandoned in most centres, because of the lack of a good second-line therapy that might increase overall survival. Intraperitoneal radioactive phosphorus as consolidating therapy in patients with negative second-look laparotomy was associated with a considerable number of bowel complications, without improving the overall survival.6
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References
Rubin SC (1993) Second-look laparotomy in ovarian cancer. In: Markman M, Hoskins WJ (eds) Cancer of the ovary, 1st edn. Raven Press, New York, pp 175–185
Hunter RW, Alexander ND, Souffer WP (1992) Meta-analysis of surgery in advanced ovarian carcinoma: is a maximum cytoreductive surgery an independent determinant of prognosis? Am J Obstet Gynecol 166:504–511
Potter ME, Partridge EE, Hatch KD et al (1991) Primary surgical therapy of ovarian cancer: how much and when? Gynecol Oncol 40:195–200
Hoskins WJ, Buncy BN, Thigpen JT et al (1992) The influence of cytoreductive surgery on recurrence-free interval and survival in small volume Stage III epithelial ovarian cancer: a Gynecologic Oncology Group Study. Gynecol Oncol 47:159–166
Vergote IB, De Wever I (1997) Primäre Zytoreduktive Operation bei Ovarialkarzinom im gortgeschittenen Stadium. Ist sie bei alien Patientinnen erforderlich? Gynäkologe 30:102–107
Vergote I, Winderen M, De Vos L et al (1993) Intraperitoneal radioactive phosphorus therapy in epithelial ovarian cancer. Analysis of benefits and complications in 313 patients treated primarily or at second-look laparotomy. Cancer 71 (7):2250–2260
Wangensteen OH (1949) Cancer of the colon and rectum. Wes Med J 48:591–597
Wangensteen OH, Lewis FJ, Tovgen LA (1951) The “second- look” in cancer surgery, Lancet 71:303–307
Reuter KL, Griffin T, Richard E (1989) Comparison of abdominal computed tomography results and findings at second-look laparotomy in ovarian carcinoma. Cancer 63:1123–1128
Lele S, Piver MS (1986) Interval laparoscopy prior to second- look laparotomy in ovarian cancer. Obstet Gynecol 68:345–349
Rosenoff SH, De Vita VT, Hubbard S (1975) Peritoneoscopy in the staging and follow-up of ovarian cancer. Semin Oncol 2:223–228
Smith WG, Day TG, Smith JP (1977) The use of laparoscopy to determine the results of chemotherapy for ovarian cancer. J Reprod Med 18:257–260
Mangioni C, Bolis G, Molteni P (1979) Indications, advantages and limits of laparoscopy in ovarian cancer. Gynecol Oncol 7:47–55
Piver MS, Shashikant BL, Barlow JJ (1980) Second-look laparoscopy prior to proposed second-look laparotomy. Obstet Gynecol 55:571–573
Berek JS, Griffith CT, Leventhal JM (1981) Laparoscopy for second-look evaluation in ovarian cancer. Obstet Gynecol 58:192–198
Quinn MA, Bishop GJ, Campbell JJ et al (1980) Laparoscopic follow-up of patients with ovarian cancer. Br J Obstet Gynecol 87:1132–1139
Nicoletto MO, Tumolo S, Talami R et al (1997) Surgical second-look in ovarian cancer: a randomized study in patients with laparoscopic complete remission - a Northeastern Oncology Cooperative Group-Ovarian Cancer Cooperative Group study. J Clin Oncol 15:994–999
Abu-Rustum NR, Barakat RR, Siegel PL et al (1996) Second- look operation for epithelial ovarian cancer: laparoscopy or laparotomy? Obstet Gynecol 88:549–553
Fiorentino M, Brigato G, Cima G et al (1993) Randomized study of redebulking in epithelial ovarian cancer (abstract). Proc Am Soc Clin Oncol 12:267
Van Dam P, Decloedt J, Tjalma W et al (1997) Diagnostic laparoscopy to assess operability of advanced ovarian cancer: a feasibility study. In: De Oliveira CF, Oliveira HM (eds) Proceedings of the 10th International Meeting of Gynecologic Oncology. Monduzzi Editore, Bologna, pp 259-266
Janisch H, Schieder K, Koelbl H (1989) Diagnostic versus therapeutic second-look surgery in patients with ovarian cancer. Baillieres Clin Obstet Gynecol 3:191–200
Decloedt J, Berteloot P, Vergote I (1997) The feasibility of open laparoscopy in gynecologic-oncologic patients. Gynecol Oncol 66:138–140
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Decloedt, J., Vergote, I. (2003). Second-look Laparoscopy in Patients with Ovarian Cancer. In: Ultrasound and Endoscopic Surgery in Obstetrics and Gynaecology. Springer, London. https://doi.org/10.1007/978-1-4471-0655-5_25
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DOI: https://doi.org/10.1007/978-1-4471-0655-5_25
Publisher Name: Springer, London
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