Application value of laparoscopy versus laparotomy in early ovarian cancer

Abstract:

Objective To compare the application value of laparoscopic surgery and open surgery in early ovarian cancer.Methods We collected the clinical data of 81 patients with early ovarian cancer diagnosed and treated in the Department of Gynecology of The First Affiliated Hospital of Chongqing Medical University，including 43 patients undergoing laparoscopic surgery and 38 patients undergoing open surgery. The patients were followed up after operation. The clinical indicators of the laparoscopy and laparotomy groups were compared.Results The laparoscopy group showed significantly shorter urinary catheter indwelling time，length of hospital stay， and time to first flatus than the laparotomy group（all P<0.05）. The two groups had no significant differences in intraoperative blood loss，the incidence of complications，the incidence of tumor rupture，and three-year local recurrence rate，distant metastasis rate，and survival rate（all P>0.05）.Conclusion In the treatment of early ovarian cancer，laparoscopic surgery does not differ from laparotomy in the three-year local recurrence rate，distant metastasis rate，or survival rate，but laparoscopic surgery can shorten the postoperative catheter indwelling time，hospital stay，and time to first flatus of patients.