{"@context":{"@vocab":"https://cir.nii.ac.jp/schema/1.0/","rdfs":"http://www.w3.org/2000/01/rdf-schema#","dc":"http://purl.org/dc/elements/1.1/","dcterms":"http://purl.org/dc/terms/","foaf":"http://xmlns.com/foaf/0.1/","prism":"http://prismstandard.org/namespaces/basic/2.0/","cinii":"http://ci.nii.ac.jp/ns/1.0/","datacite":"https://schema.datacite.org/meta/kernel-4/","ndl":"http://ndl.go.jp/dcndl/terms/","jpcoar":"https://github.com/JPCOAR/schema/blob/master/2.0/"},"@id":"https://cir.nii.ac.jp/crid/1361699994240960640.json","@type":"Article","productIdentifier":[{"identifier":{"@type":"DOI","@value":"10.1186/1757-2215-6-48"}},{"identifier":{"@type":"URI","@value":"https://link.springer.com/content/pdf/10.1186/1757-2215-6-48.pdf"}}],"dc:title":[{"@value":"Surgical management and perioperative morbidity of patients with primary borderline ovarian tumor (BOT)"}],"description":[{"type":"abstract","notation":[{"@value":"<jats:title>Abstract</jats:title>\n          <jats:sec>\n            <jats:title>Background</jats:title>\n            <jats:p>Surgery is the cornerstone for clinical management of patients with borderline ovarian tumors (BOT). As these patients have an excellent overall prognosis, perioperative morbidity is the critical point for decision making when the treatment strategy is developed and the primary surgical approach is defined.</jats:p>\n          </jats:sec>\n          <jats:sec>\n            <jats:title>Methods</jats:title>\n            <jats:p>Clinical and surgical parameters of patients undergoing surgery for primary BOT at our institutions between 1993 and 2008 were analyzed with regard to perioperative morbidity depending on the surgical approach (laparotomy vs. laparoscopy).</jats:p>\n          </jats:sec>\n          <jats:sec>\n            <jats:title>Results</jats:title>\n            <jats:p>A total of 105 patients were analyzed (44 with primary laparoscopy [42%], 61 with primary laparotomy [58%]). Complete surgical staging was achieved in 33 patients at primary surgical approach (31.4%) frequently leading to formal indication of re-staging procedures. Tumor rupture was significantly more frequent during laparoscopy compared to laparotomy (29.5% vs. 13.1%, p = 0.038) but no other intraoperative complications were seen in laparoscopic surgery in contrast to 7 of 61 laparotomies (0% vs. 11.5%, p = 0.020). Postoperative complication rates were similar in both groups (19.7% vs. 18.2%, p = 0.848).</jats:p>\n          </jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions</jats:title>\n            <jats:p>Irrespective of the surgical approach, surgical management of BOT has acceptable rates of perioperative complications and morbidity. Choice of initial surgical approach can therefore be made independent of complication-concerns. As the recently published large retrospective AGO ROBOT study observed similar oncologic outcome for both approaches, laparoscopy can be considered for staging of patients with BOT if this appears feasible. An algorithm for the surgical management of BOT patients has been developed.</jats:p>\n          </jats:sec>"}]}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1381699994240960643","@type":"Researcher","foaf:name":[{"@value":"Fabian Trillsch"}]},{"@id":"https://cir.nii.ac.jp/crid/1381699994240960647","@type":"Researcher","foaf:name":[{"@value":"Jan David Ruetzel"}]},{"@id":"https://cir.nii.ac.jp/crid/1381699994240960642","@type":"Researcher","foaf:name":[{"@value":"Uwe Herwig"}]},{"@id":"https://cir.nii.ac.jp/crid/1381699994240960641","@type":"Researcher","foaf:name":[{"@value":"Ulrike Doerste"}]},{"@id":"https://cir.nii.ac.jp/crid/1381699994240960640","@type":"Researcher","foaf:name":[{"@value":"Linn Woelber"}]},{"@id":"https://cir.nii.ac.jp/crid/1381699994240960648","@type":"Researcher","foaf:name":[{"@value":"Donata Grimm"}]},{"@id":"https://cir.nii.ac.jp/crid/1381699994240960644","@type":"Researcher","foaf:name":[{"@value":"Matthias Choschzick"}]},{"@id":"https://cir.nii.ac.jp/crid/1381699994240960645","@type":"Researcher","foaf:name":[{"@value":"Fritz Jaenicke"}]},{"@id":"https://cir.nii.ac.jp/crid/1381699994240960646","@type":"Researcher","foaf:name":[{"@value":"Sven Mahner"}]}],"publication":{"publicationIdentifier":[{"@type":"EISSN","@value":"17572215"}],"prism:publicationName":[{"@value":"Journal of Ovarian Research"}],"dc:publisher":[{"@value":"Springer Science and Business Media LLC"}],"prism:publicationDate":"2013-07-09","prism:volume":"6","prism:number":"1"},"reviewed":"false","url":[{"@id":"https://link.springer.com/content/pdf/10.1186/1757-2215-6-48.pdf"}],"createdAt":"2013-07-09","modifiedAt":"2021-09-02","relatedProduct":[{"@id":"https://cir.nii.ac.jp/crid/1390001205346462464","@type":"Article","relationType":["isReferencedBy"],"jpcoar:relatedTitle":[{"@language":"en","@value":"Feasibility Study of the Laparoscopic Approach for Borderline Ovarian Tumors"},{"@language":"ja","@value":"腹腔鏡下手術施行後に診断された境界悪性卵巣腫瘍8例からの検討"}]}],"dataSourceIdentifier":[{"@type":"CROSSREF","@value":"10.1186/1757-2215-6-48"},{"@type":"CROSSREF","@value":"10.5180/jsgoe.29.402_references_DOI_L4cg2MQrYPJe76GlIK7CuPEmLDA"}]}