Table 2 Surgical parameters
Primary approach via laparotomy | Primary laparoscopic approach | P | |||
|---|---|---|---|---|---|
(n = 61) | (58.1%) | (n = 44) | (41.9%) | ||
Indication for surgery | |||||
cystic ovarian lesion | 56 | 91.8% | 42 | 95.5% | |
- unsuspicious ovarian cyst | 0 | 13 | |||
- cystic lesion of unknown dignity | 48 | 29 | |||
- suspected ovarian cancer/ BOT | 8 | 0 | |||
unexpected diagnosis during surgery for different reason | 5 | 8.2% | 2 | 4.5% | |
Conversion of laparoscopy to laparotomy (reason for conversion) | 14 | 31.8% | |||
intraoperative conditions | 11 | 78.6% | |||
- tumor growth pattern and tumor size | 8 | ||||
- adhesions | 3 | ||||
result of intraoperative histology | 3 | 21.4% | |||
Surgical procedures in primary and re-staging surgery | |||||
fertility sparing surgery | 9 | 14.8% | 15 | 34.1% | |
non-fertility sparing surgery | 52 | 85.2% | 29 | 65.9% | |
omentectomy | 33 | 54.1% | 30 | 68.2% | |
appendectomy | 35 | 57.4% | 12 | 27.3% | |
peritoneal biopsies | 37 | 60.7% | 23 | 52.3% | |
cytology | 49 | 80.3% | 38 | 86.4% | |
sampling of lymph nodes or lymphonodectomy | 24 | 39.3% | 14 | 31.8% | |
- pelvic | 19 | 13 | |||
- paraaortic | 5 | 3 | |||
Surgical cytoreduction | 0.333b | ||||
complete | 54 | 88.5% | 36 | 81.8% | |
incomplete | 7 | 11.5% | 8 | 18.2% | |
Surgical staging | < 0.001 b | ||||
- complete in primary surgery | 30 | 49.2% | 4 | 9.1% | |
- incomplete in primary surgery | 31 | 50.8% | 40 | 90.9% | |
- complete after re-staging surgery | 31 | 50.8 | 23 | 52.3 | |
- incomplete after re-staging | 30 | 49.2 | 21 | 47.7 | |
Intraoperative histology | < 0.001 b | ||||
obtained | 51 | 83.6% | 15 | 34.1% | |
- intraoperative diagnosis of BOT | 30 | 9 | |||
not obtained | 10 | 16.4% | 29 | 65.9% | |
Cyst rupture | 0.038 b | ||||
yes | 8 | 13.1% | 13 | 29.5% | |
no | 53 | 86.9% | 31 | 70.5% | |
Duration of surgery, median (min) | 136 | 112 | 0.120a | ||
range | 50-405 | 47-350 | |||
Eks, median | 0 | 0 | 0.088a | ||
range | 0-6 | 0-2 | |||
FFPs, median | 0 | 0 | 0.342a | ||
range | 0-20 | 0-10 | |||
Hb preop, median (mg/dl) | 13.4 | 13.6 | 0.662a | ||
range | 5.6-15.1 | 10.3-14.8 | |||
Hb postop, median (mg/dl) | 10.9 | 11.9 | 0.006 a | ||
range | 7.4-13.6 | 9.5-14.3 | |||
Days on ICU, median (days) | 0 | 0 | 0.014 a | ||
range | 0-4 | 0-2 | |||
Primary inhospital stay, median (days) | 9 | 5 | < 0.001 a | ||
range | 5-19 | 0-19 | |||