| Abstrakt: |
To evaluate the feasibility and surgical outcome of laparoscopy-assisted surgery for large adnexal cysts. 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. 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). Laparoscopy-assisted surgery is feasible and safe for women with large benign adnexal cysts and result s in a short surgery time. [ABSTRACT FROM AUTHOR] |
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