Objective: To evaluate the usefulness of diagnostic laparoscopy in patients with advanced ovarian cancer.
Methods: We retrospectively analyzed nine patients for whom primary debulking surgery was considered unfeasible. We evaluated whether laparoscopic procedure was adequate in making pathological diagnosis and intraabdominal assessment.
Results: Median age was 63 years (range, 47-79 years), and median operation time was 59 minutes (range, 43-103 minutes). All nine patients were pathologically diagnosed with high-grade serous carcinoma and were considered unfit to undergo primary debulking surgery. All patients received chemotherapy. Six patients underwent interval debulking surgery. Only one patient showed mild adhesions between the omentum and the abdominal wall.
Conclusion: Diagnostic laparoscopy is safe and feasible in advanced ovarian cancer patients.