Laparoscopic oophorectomy: an emerging option for the management of breast cancer

The introduction of laparoscopy into surgical practice has stimulated interest in laparoscopic oophorectomy, particularly in view of the cost and morbidity of alternative therapies. Since 1993, the QEH Breast Unit has employed laparoscopic oophorectomy in selected cases of breast cancer. In the 36 months to May 1996, 28 premenopausal breast cancer patients underwent oophorectomy, with 27 having the procedure completed laparoscopically. The procedure was performed as adjuvant therapy in 25 patients; 3 had known metastatic disease. For laparoscopic oophorectomy the median inpatient stay was 2 days (range 1–4), and the operative time was a median of 34 min (range 25–53). No significant operative complications occurred, but 1 patient was converted to open surgery due to the presence of dense peritoneal adhesions. Laparoscopic oophorectomy is feasible, can be performed safely with minimal morbidity, and is cost-effective.