Selection of Surgical Approaches for Sparing-fertility in Borderline Ovarian Tumors
ZHAO Jian-guo
LIU Cai-yan
LIU Jing
HE Ping
QU Peng-peng
XU Xin-ran
Abstract：Objective:To research short-outcome and effect on pregnancy after sparing-fertility surgery of the borderline ovarian tumors (BOTs) with laparoscopy or laparotomy approach. Methods:Clinic-pathologic variants of 74 sparing-fertility cases with BOTs from January 2009 to July 2015 in the Tianjin Central Hospital of Obstetrics & Gynecology were analyzed retrospectively. 44 cases and 30 cases were carried out laparoscopic surgery and laparotomy surgery respectively. Recurrence and pregnancy of two groups were compared. Results:Age of laparotomy group was younger than that of laparoscopic group significantly (P=0.018). Maximal longitude of tumor in laparotomy group was significantly longer than that of the laparoscopic group (P=0.000). Number of unstaging cases in laparoscopic group were significantly more than that of laparotomy group ( P=0.000). Total recurrent rate was 6.7%(5/74). There were no significant differences of recurrent rate between the two groups ( P=0.980). The total pregnant rate was 33.8%(25/74) in sparing-fertility patients, 30%(9/30) in laparotomic group, 36.4%(16/44) in the laparoscopic group with insignificant difference between two groups (P=0.570). The pregnancy rate of unstaging cases in laparoscopic group was significantly higher than that of laparotomy group (P=0.041). No recurrence occurred in pregnant cases. Conclusions:Short-outcome and pregnancy of BOTs patients with unstaging laparoscopic sparing-fertility surgery were satisfactory. It was safe and feasible to undergo laparoscopic sparing-fertility surgery in selectable patients with BOTs.
Keywords：Borderline ovarian tumorsSparing-fertility surgeryLaparoscopyPrognosisPregnancy
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 529-532 )