Laparoscopy versus laparotomy for FIGO stage I ovarian cancer - The Cochrane Library
Abstract (repost)
BACKGROUND:
This
is an updated version of the original review that was first published
in the Cochrane Database of Systematic Reviews 2008, Issue 4.
Laparoscopy has become an increasingly common approach to surgical
staging of apparent early-stage ovarian tumours. This review was
undertaken to assess the available evidence on the benefits and risks of
laparoscopy compared with laparotomy for the management of
International Federation of Gynaecology and Obstetrics (FIGO) stage I
ovarian cancer.
OBJECTIVES:
To evaluate the benefits and
risks of laparoscopy compared with laparotomy for the surgical treatment
of FIGO stage I ovarian cancer (stages Ia, Ib and Ic).
SEARCH METHODS:
For
the original review, we searched the Cochrane Gynaecological Cancer
Group Trials (CGCRG) Register, Cochrane Central Register of Controlled
Trials (CENTRAL 2007, Issue 2), MEDLINE, EMBASE, LILACS, Biological
Abstracts and CancerLit from 1 January 1990 to 30 November 2007. We also
handsearched relevant journals, reference lists of identified studies
and conference abstracts. For this updated review, we extended the CGCRG
Specialised Register, CENTRAL, MEDLINE, EMBASE and LILACS searches to 6
December 2011.
SELECTION CRITERIA:
Randomised controlled
trials (RCTs), quasi-RCTs and prospective case-control studies
comparing laparoscopic staging with open surgery (laparotomy) in women
with stage I ovarian cancer according to FIGO.
DATA COLLECTION AND ANALYSIS:
There were no studies to include, therefore we tabulated data from non-randomised studies (NRS) for discussion.
MAIN RESULTS:
We performed no meta-analyses.
AUTHORS' CONCLUSIONS:
This
review has found no good-quality evidence to help quantify the risks
and benefits of laparoscopy for the management of early-stage ovarian
cancer as routine clinical practice.
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