Narrow-Band Imaging in Laparoscopic Management of Recurrent Platinum Sensitive Ovarian Cancer

Gagliardi, Mario; Polito, Salvatore; Fagotti, Anna; Fanfani, Francesco; Scambia, Giovanni

doi:10.1016/j.jmig.2012.01.016

Cited by 6 publications

(9 citation statements)

References 11 publications

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“…With recent improvements in the quality of radiologic evaluations, we tried to preoperatively predict the presence of multiple adhesions or fibrosis. In the near future, we may be able to use intraoperative ultrasound or narrow-band imaging to assess the intraabdominal environment, provided these methods are sufficiently validated [ 23 24 ].…”

Section: Discussionmentioning

confidence: 99%

Feasibility of laparoscopic cytoreduction in patients with localized recurrent epithelial ovarian cancer

et al. 2016

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ObjectiveTo assess the feasibility of laparoscopic cytoreduction in patients with localized recurrent epithelial ovarian cancer (EOC) by comparing its outcomes to those of laparotomy.MethodsWe performed retrospective analysis in 79 EOC patients who had a localized single recurrent site, as demonstrated by computed tomography (CT) scan, magnetic resonance imaging, or positron emission tomography/CT scan; had no ascites; were disease-free for 12 or more months prior; and who had undergone secondary cytoreduction (laparoscopy in 31 patients, laparotomy in 48 patients) at Samsung Medical Center between 2002 and 2013. By reviewing the electronic medical records, we investigated the patients’ baseline characteristics, surgical characteristics, and surgical outcomes.ResultsThere were no statistically significant differences between laparoscopy and laparotomy patients in terms of age, body mass index, cancer antigen 125 level, tumor type, initial stage, grade, recurrence site, type of procedures used in the secondary cytoreduction, adjuvant chemotherapy, and disease-free interval from the previous treatment. With regards to surgical outcomes, reduced operating time, shorter hospital stay, and less estimated blood loss were achieved in the laparoscopy group. Complete debulking was achieved in all cases in the laparoscopy group.ConclusionThe laparoscopic approach is feasible without compromising morbidity and survival in selected groups of patients with recurrent EOC. The laparoscopic approach can be a possible treatment option for recurrent EOC.

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Section: Discussionmentioning

confidence: 99%

Feasibility of laparoscopic cytoreduction in patients with localized recurrent epithelial ovarian cancer

et al. 2016

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“…2. The years with the highest frequency of publications were 2010 and 2011 with 5 studies produced each year and the country which produced the highest number of studies was Japan with 11 studies (13,18,21,22,28,(31)(32)(33)35), followed by Italy with 8 studies (9,10,(15)(16)(17)19,20,36).…”

Section: Resultsmentioning

confidence: 99%

“…A total of 11 studies described the use of NBI in hysteroscopy for the detection of endometrial pathologies (9,10,(19)(20)(21)(22)(23)(24)(25)36,37) and another 11 studies reported the use of NBI in laparoscopy for the detection of peritoneal endometriosis (11)(12)(13)(26)(27)(28)(29)(30)33,34,37,38). Furthermore, three articles dealt with the use of NBI in digital colposcopy for the detection of lower genital tract pathologies (14,31,32) and three articles reported on the use of NBI in laparoscopy for the detection of peritoneal metastases associated with ovarian cancer and other gynecological malignancies (15)(16)(17).…”

Section: Study Propertiesmentioning

confidence: 99%

Improving tissue characterization, differentiation and diagnosis in gynecology with the narrow‑band imaging technique: A systematic review

et al. 2021

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“…Fanfani et al [14] published a single case report of a patient with a borderline ovarian neoplasm for whom NBI may have facilitated detection of a peritoneal implant possibly due to improved visualization of neovascularization or peri-neoplastic inflammation. Gagliardi et al [15] reported two cases of recurrent ovarian cancer in which NBI was used during diagnostic laparoscopy to identify the extent of the recurrent disease. The authors posit that the NBI system has unique value as a technique that increases the specificity, and therefore predictive value, of lesions identified during laparoscopic procedures.…”

Section: Resultsmentioning

confidence: 99%

Novel Imaging Technologies in Laparoscopic Gynecologic Surgery: A Systematic Review

Vogell

Burley

Ware

et al. 2017

Journal of Engineering and Science in Medical Diagnostics and Therapy

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Novel imaging technologies continued to be introduced into the operative setting. In particular, novel image-enhanced laparoscopic techniques are being explored for use in gynecologic operations. This systematic review describes these technologies in four relevant areas of gynecologic surgery. The PubMed database was searched for human, English-language studies, and the reference lists of retrieved articles were reviewed. An analysis of pooled data from 34 studies that met inclusion criteria was performed. The results suggest that image-enhanced technology may be useful in several common gynecologic procedures. Auto-and drug-enhanced fluorescence laparoscopy allow for increased detection of nonpigmented endometriotic lesions. Using these technologies for peritoneal staging of ovarian malignancy is of uncertain benefit. Drug-enhanced fluorescence laparoscopy for sentinel lymph node (SLN) detection in patients with uterine or cervical malignancy is feasible, showing a high rate of SLN detection, but a low sensitivity of identifying metastases. Finally, their use in intra-operative visualization of the ureter is promising. The majority of available data was from feasibility studies with limited sample sizes. Nevertheless, the results described in this systematic review support the expectation that these upcoming image-enhanced laparoscopy techniques will play a more important role in the future care of gynecologic patients.

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Narrow-Band Imaging in Laparoscopic Management of Recurrent Platinum Sensitive Ovarian Cancer

Cited by 6 publications

References 11 publications

Feasibility of laparoscopic cytoreduction in patients with localized recurrent epithelial ovarian cancer

Feasibility of laparoscopic cytoreduction in patients with localized recurrent epithelial ovarian cancer

Improving tissue characterization, differentiation and diagnosis in gynecology with the narrow‑band imaging technique: A systematic review

Novel Imaging Technologies in Laparoscopic Gynecologic Surgery: A Systematic Review

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