Nerve sparing systematic lymph node dissection (para-aortic region): a technique for enhanced functional outcomes after gynecological cancer surgeries

Muallem, Mustafa Zelal; Nasser, Sara; Miranda, Andrea

doi:10.1136/ijgc-2021-003030

Cited by 1 publication

(1 citation statement)

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“…The learning curve extended from 2013 to 2015 and included 25 patients [ 14 ]. The TROMP technique also featured a nerve-sparing systematic lymph node dissection as part of the procedure [ 15 , 16 ] wherever it was indicated. Informed consent was obtained from all patients prior to clinical data collection.…”

Section: Methodsmentioning

confidence: 99%

A Promising Approach for Primary Cytoreductive Surgery for Advanced Ovarian Cancer: Survival Outcomes and Step-by-Step Description of Total Retroperitoneal en-Bloc Resection of Multivisceral-Peritoneal Packet (TROMP)

Muallem

Kluge

Sayasneh

et al. 2022

JPM

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(1) Background: A complete tumor resection during primary cytoreductive surgery has been reported to be the most important and perhaps the only independent prognostic factor in advanced ovarian cancers. The goal of complete cytoreduction needs to be weighed against the potential morbidities and long-term survival outcomes. (2) Methods: in this retrospective analysis of a prospectively obtained database, 208 consecutive patients with advanced ovarian cancer who underwent a conventional primary cytoreductive surgery (150 patients) or TROMP technique (58 patients) were included. Progression-free and overall survival rates were calculated using Kaplan–Meier analysis as well as the 95% confidence interval of the hazard ratio between treatment groups. (3) Results: After a median follow-up phase of more than 3 years (range 1–72 months), there are no statistically significant differences between both groups in progression-free and overall survival rates. Albeit, the TROMP group included statistically significant more advanced-stage cases compared to the conventional surgery group. (4) Conclusions: the TROMP technique is a promising tool for successful primary cytoreductive surgery in a selected group of patients with high tumor burdens in order to achieve optimal surgical results and survival outcomes without introducing any additional risks or complications.

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Section: Methodsmentioning

confidence: 99%