Laparoscopic surgery for large benign ovarian cysts

Eltabbakh GH, Gamal H. Eltabbakh, Adrienne M. Charboneau, Charboneau AM, Eltabbakh NG, Noura G. Eltabbakh
Gynecologic Oncology · 2007 · vol. 108(1) , pp. 72–76 · doi:10.1016/j.ygyno.2007.08.085 · PMID:17949797 · W2113936321
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This paper investigates the safety and efficacy of laparoscopic surgery for large benign ovarian cysts.

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Abstract

ObjectiveTo assess the feasibility and surgical outcome of laparoscopic surgery among women with large benign ovarian cysts.MethodsWe conducted a prospective study applying laparoscopic surgery among women with ovarian cysts whose maximum diameter was > or = 10 cm and radiologic and laboratory features suggestive of benign disease. Patients' demographics, clinical and ultrasound features, CA-125 values, surgical procedures, operative and post-operative complications, estimated amount of blood loss (EBL), operative time, conversion to laparotomy and the pathologic findings were recorded.ResultsThirty-three consecutive patients underwent laparoscopic surgery over 7 years. The mean (range) age and body mass index were 45.2 (17-73 years) and 30 (21-42), respectively. Laparoscopic surgery was successful in 31 (93.9%) patients. The procedure was converted to laparotomy in 2 patients secondary to adhesions. There were no operative or post-operative complications. The mean (range) operative time, EBL and hospital stay were 82 (45-125 min), 89 (20-250 mL) and 0.94 (0-4 days), respectively. Twenty-three (70%) patients were discharged home the day of the surgery. The surgical procedures performed were: unilateral salpingo-oophorectomy (SO) (n=16), bilateral SO (n=4), ovarian cystectomy (n=2) and laparoscopically assisted vaginal hysterectomy and bilateral SO (n=9). The cysts were extracted after aspiration through the vagina (n=11), lower quadrant incision (n=5) or the umbilical incision (n=15). Pathologic findings included serous cystadenoma (n=11), mucinous cystadenoma (n=6), dermoid (n=6), endometriosis (n=5), benign epithelial-lined cyst (n=3) and borderline ovarian tumors (n=2).ConclusionLaparoscopy is feasible and safe for women with large ovarian cysts with benign features and results in a short hospital stay.

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MeSH descriptors

Ovarian Cysts Adolescent Adult Aged Female Humans Laparoscopy Middle Aged Ovarian Cysts Ovarian Cysts Prospective Studies

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