Is minimal invasive surgery for ovarian cancer hazardous?

Minimally Invasive Surgery, Intraoperative Capsule

Rupture, and Survival in Early Ovarian Cancer

https://tinyurl.com/mp9c87u8

Minimally invasive surgery is increasingly the method of choice for treatment of ovarian cancer either by laparoscopic approach or through use of robotic assistance. Reasons for this include reduced perioperative morbidity and mortality, rapid rehabilitation and reduced scarring or deformity.

In this study using data from the Clinical Cancer National Registry about half of more than 11000 women with ovarian cancer had minimally invasive surgery. Of those women, the intraoperative complication of rupture of the capsule with consequent intraperitoneal spill of cancer cells was 17 % greater for the minimal group compared to open surgery.

Overall survival after 3 years was significantly decreased for women who experienced capsule rupture with 13% increase in death. Although the rate of rupture is low at about 20% for both open and minimal procedures, it is important that this risk be included in informed consent discussions and further improvement of surgical procedure be sought.