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CompletedNCT02980185Updated Dec 2, 2016

Laparoscopy for Primary Cytoreductive Surgery in Advanced Ovarian Cancer

An observational study in Residual Tumor, Disease-free Survival and Overall Survival, sponsored by Università degli Studi dell'Insubria. Completed at 1 site in Italy. Open to female participants. Per ClinicalTrials.gov, last updated 2016-12-02.

Sponsored by Università degli Studi dell'Insubria · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
66
Sex
Female
01

Study summary

To assess the feasibility, Residual Tumor, complication rate and survival of totally laparoscopic primary cytoreduction in carefully selected patients with Advanced Ovarian Cancer, compared with abdominal primary cytoreduction in a single-Institution, single-surgeon prospective series.

Read the detailed description

All patients with presumed stage III-IV ovarian cancer and clinical conditions allowing aggressive surgery were candidate to possible primary cytoreduction with the aim of achieving residual tumor=0. A definite protocol was adopted: after radiological preoperative evaluation with PET-CT scan, all patients underwent laparoscopic evaluation with the Fagotti score. Once considered suitable for primary debulking surgery, the possibility of attempting laparoscopic cytoreduction was carefully evaluated using strict selection criteria; patients were divided in two groups, based on the type of surgical approach. At the end of laparoscopic primary cytoreduction, a ultra-low pubic minilaparotomy was performed to extract surgical specimens and to perform laparoscopic hand-assisted exploration of the abdominal organs, in order to ensure complete excision of the disease. Surgical data, optimal cytoreduction (defined as residual tumor=0) rates and survival outcomes were investigated.

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Conditions studied

  • Residual Tumor
  • Disease-free Survival
  • Overall Survival

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In context

Neoplasm, Residual

272 studies on the registry are indexed under Neoplasm, Residual; 124 are open to participants now.

This study's enrollment of 66 is below the median of 100 across 89 observational studies indexed under Neoplasm, Residual.

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Lead sponsor

Università degli Studi dell'Insubria is the lead sponsor of 68 studies on the registry; 8 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
Female
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients undergoing primary cytoreduction for stage III-IV ovarian cancer at the Sacred Heart Hospital, Negrar, Italy

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Primary Ovarian cancer
  • Epithelial histotype
  • Stage III-IV disease

Exclusion criteria

Exclusion Criteria:

  • Anesthesiological contraindication to primary cytoreduction
  • Extension of disease contraindicating primary cytoreduction
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Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
66 participants (actual)
Patient registry
No

Groups and cohorts

  • Laparoscopic primary cytoreduction

    Patients in whom primary cytoreduction was performed using a laparoscopic approach

    Procedure: Laparoscopic primary cytoreduction

  • Abdominal primary cytoreduction

    Patients in whom primary cytoreduction was performed using an open abdominal approach

Interventions

  • ProcedureLaparoscopic primary cytoreduction

    Primary cytoreduction for ovarian cancer performed through a completely minimally-invasive approach

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What researchers measure

Primary outcomes

  1. Residual tumor at the end of surgery (using the completeness of cytoreduction score)

    Time frame: June 2007 - July 2015

Secondary outcomes

  1. Disease-free Survival

    Time frame: June 2007 - July 2016

  2. Overall Survival

    Time frame: June 2007 - July 2016

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Study locations

1 site
  • Department of Obstetrics and Gynecology Universita' Dell'Insubria
    Varese, 21100, Italy
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References and documents

Publications

  • Nezhat FR, DeNoble SM, Liu CS, Cho JE, Brown DN, Chuang L, Gretz H, Saharia P. The safety and efficacy of laparoscopic surgical staging and debulking of apparent advanced stage ovarian, fallopian tube, and primary peritoneal cancers. JSLS. 2010 Apr-Jun;14(2):155-68. doi: 10.4293/108680810X12785289143990. PubMed 20932362 ↗
  • Ceccaroni M, Roviglione G, Bruni F, Clarizia R, Ruffo G, Salgarello M, Peiretti M, Uccella S. Laparoscopy for primary cytoreduction with multivisceral resections in advanced ovarian cancer: prospective validation. "The times they are a-changin"? Surg Endosc. 2018 Apr;32(4):2026-2037. doi: 10.1007/s00464-017-5899-9. Epub 2017 Oct 19. PubMed 29052073 ↗

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 2, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02980185
Lead sponsor
Università degli Studi dell'Insubria
Responsible party
Stefano Uccella (Doctor, Università degli Studi dell'Insubria) — Principal investigator
First posted
Dec 2, 2016
Start date
Jun 2007
Primary completion
Jul 2015
Completion
Oct 2016
Last update
Dec 2, 2016

Study contacts

Stefano Uccella, MD, PhD
study chair · Università degli Studi dell'Insubria

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Nov 2016. You cannot join it, but the record below documents what was studied.

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