Role of Laparoscopy in Cancer Surgery


Great advances in technology offer meticulous options of minimally invasive surgery to empower gynecologists to manage patients with early ovarian cancer. Laparoscopy affords improved visualization of the pelvic peritoneum, diaphragm, and deep pelvic structures, and offers many advantages in the avoidance of long abdominal incision, including shorter hospital stay and a more rapid recovery time. Most studies showed that laparoscopy did not compromise the survival and recurrence prognosis in comparison with the open abdominal approach of staging surgery. Contrarily, laparoscopy precludes the advantage of open surgery, such as manual examination of the full extent of the bowel and palpation of lymph nodes. Besides, laparoscopy technically hampers the removal of the large ovarian mass, and laparoscopic cancer surgery has a potential risk of trocar site metastasis. As the trend shows that laparoscopy has been playing an important role in treating early ovarian cancer, we could expect laparoscopy to become an attractive surgical option in the future for ovarian cancers.

This video explains the Role of Laparoscopy in Cancer Surgery.  The role of laparoscopy for cancer has expanded to include diagnosing, staging, treating, monitoring, and palliating many types of malignancies. A laparoscopic guided biopsy allows the confirmation of malignancy by providing tissue specimens, especially in cases where other means of biopsy are not feasible.

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