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Abstract
Objective
The
objective of the study was to prospectively evaluate the accuracy of
laparoscopy performed in satellite centers (SCs) to describe
intraabdominal diffusion of advanced ovarian cancer (AOC).
Study Design
Patients
with a clinical/radiological suspicion of AOC were included in the
protocol. SCs were selected among those surgeons, spending a short
intensive training period at the coordinator center (CC) to learn the
application of staging laparoscopy (S-LPS) in AOC. All women underwent
S-LPS at the SCs, and the surgical procedure was recorded and blindly
reviewed at the CC.....
Results
One
hundred sixty-eight cases were considered eligible for the study. A
per-protocol analysis was performed on 120 cases. The worst laparoscopic
assessable feature was mesenteric retraction, whereas the remaining
variables ranged from 99.2% (peritoneal carcinomatosis) to 90% (bowel
infiltration). All but 1 SC (SC number 4) reached an accuracy rate of
80% or greater for both single parameters and overall score.....
Conclusion
S-LPS
allows an accurate and reliable assessment of intraperitoneal diffusion
of disease in AOC patients in trained gynecological oncology centers.
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