Laparoscopic Placement of PAP Catheters for Intraperitoneal Chemotherapy in Ovarian Carcinoma

Autor: Pax H.B. Willemse, Elisabeth G.E. de Vries, Ate G.J. van der Zee, Dick J. Tinga, Henriette J. G. Arts
Přispěvatelé: Targeted Gynaecologic Oncology (TARGON)
Rok vydání: 1998
Předmět:
Laparoscopic surgery
Catheterization/methods
medicine.medical_treatment
Tissue Adhesions
Cyclophosphamide/administration & dosage
Laparoscopy/methods
Catheters
Indwelling
Antineoplastic Agents
Phytogenic/administration & dosage
Laparotomy
Ovarian carcinoma
Antineoplastic Combined Chemotherapy Protocols
Infusions
Parenteral
Infusions
Intravenous
Intraoperative Complications
Ovarian Neoplasms
Ovarian Neoplasms/drug therapy
Obstetrics and Gynecology
Middle Aged
Catheter
Carcinoma/drug therapy
Indwelling
Oncology
Female
Phytogenic/administration & dosage
Intravenous
medicine.drug
Adult
Insufflation
Infusions
medicine.medical_specialty
Catheters
Paclitaxel
Cyclophosphamide
Antineoplastic Agents
Catheterization
Parenteral
Paclitaxel/administration & dosage
medicine
Humans
Veress needle
Chemotherapy
business.industry
Carcinoma
Antineoplastic Agents
Phytogenic
Surgery
Laparoscopy
Antineoplastic Combined Chemotherapy Protocols/therapeutic use
Cisplatin
business
Cisplatin/administration & dosage
Zdroj: Gynecologic Oncology, 69(1), 32-35. ACADEMIC PRESS INC ELSEVIER SCIENCE
ISSN: 0090-8258
Popis: Objective. To our report our experience with the laparoscopic placement of peritoneal access ports and to compare it to our experience with placement at laparotomy.Methods. Patients with advanced ovarian carcinoma were enrolled in a study to receive intraperitoneal paclitaxel in combination with intravenous cisplatin and cyclophosphamide as first-or second-line chemotherapy. Patients had a PAP catheter placed at primary laparotomy or by a separate laparoscopic procedure under general anesthesia.Results. In 13 patients a PAP catheter was placed during primary laparotomy, without complications. Thirteen patients had laparoscopic catheter placing, using routine Veress needle insufflation. After a bowel perforation at insertion of the umbilical trocar had occurred in one patient, due to extensive adhesions, we decided to use only an open laparoscopic procedure. No other procedure or catheter-related complications occurred.Conclusion. Laparoscopic-assisted placement of PAP catheters is feasible, but should preferably be performed by an open laparoscopic procedure in this patient population at risk for intraabdominal adhesions. (C) 1998 Academic Press.
Databáze: OpenAIRE
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