Laparoscopy-assisted cystectomy for large adnexal cysts

• Published in: Archives of gynecology and obstetrics Vol. 279; no. 1; pp. 17 - 22
• Main Authors: Göçmen, Ahmet, Atak, Tuba, Uçar, Mustafa, Şanlıkal, Fatih
• Format: Journal Article
• Language: English
• Published: Berlin/Heidelberg Springer-Verlag 01.01.2009; Springer Nature B.V
• Subjects: Adnexal Diseases - pathology; Adnexal Diseases - surgery; Adult; Cysts; Cysts - pathology; Cysts - surgery; Endocrinology; Female; Gynecology; Human Genetics; Humans; Laparoscopy; Laparoscopy - methods; Medicine; Medicine & Public Health; Middle Aged; Obstetrics/Perinatology/Midwifery; Original Article; Surgery; Treatment Outcome; Ultrasonic imaging; Young Adult; Large adnexal cysts; Laparoscopy-assisted surgery
• ISSN: 0932-0067; 1432-0711
• DOI: 10.1007/s00404-008-0651-2

Objective To evaluate the feasibility and surgical outcome of laparoscopy-assisted surgery for large adnexal cysts. Methods From January 1998 to October 2007, 46 women underwent laparoscopy-assisted surgery for large adnexal cysts whose maximum diameter were between 10 and 20 cm, radiologic and laboratory features suggestive of benign disease. All the patients had a pre-operative ultrasound with or without computed tomography and CA-125 assessment. 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 pathological findings were recorded. Results Fourty-six consecutive patients underwent laparoscopy-assisted surgery over 9 years. The mean and range of the patients’ age and body mass index were 34.1 ± 6.3 and (21–45) years and 27.4 ± 5.9 and (22–40), respectively. In all the patients, except one with borderline ovarian tumor, laparoscopy-assisted surgery was successful. There were no operative or post-operative complications. The mean and range of the operative time, EBL and hospital stay were 48.4 ± 7.3 and (35–65) min, 55.0 ± 28.9 and (25–150) mL, 1.49 ± 0.50 and (1–3) days, respectively. The mean and range of the extracorporeal cystectomy time were 10.2 ± 2.7 and (8–14) min. The surgical procedures performed were: ovarian and paraovarian cystectomy ( n  = 45), unilateral salpingo-oophorectomy, pelvic-paraaortic lymphadenectomy and omentectomy ( n  = 1). Pathologic findings included serous cystadenoma ( n  = 26), mucinous cystadenoma ( n  = 7), dermoid ( n  = 6), endometriosis ( n  = 6), and borderline ovarian tumor ( n  = 1). Conclusion Laparoscopy-assisted surgery is feasible and safe for women with large benign adnexal cysts and result s in a short surgery time.