Laparoscopic management of large ovarian tumors: Clinical tips for overcoming common concerns

Jin Hwa Hong, Joong Sub Choi, Jung Hun Lee, Chang Eop Son, Seung Wook Jeon, Jong Woon Bae

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Aim: This study was performed to assess the feasibility and efficacy of laparoscopic management for patients with large ovarian tumors. Material and Methods: A retrospective analysis was performed of the medical records of 52 women who underwent laparoscopic surgery for large ovarian tumors whose maximum diameter was ≥15 cm and a low possibility of malignancy. Results: The median age of patients was 35 years (range 18-84), median body mass index was 22.4 kg/m 2 (range 12.4-31.5) and 18 patients had previous operative history. The median tumor diameter was 17 cm (range 15-40). There were no conversions to laparotomy and perioperative complications. The median operating time, estimated blood loss, and hospital stay were 80 min (range 25-225), 100 mL (range 50-500) and 3 days (range 2-14), respectively. The operative procedures performed were salpingo-oophorectomy (n = 26), ovarian cystectomy (n = 16), laparoscopically assisted vaginal hysterectomy with unilateral or bilateral salpingooophorectomy (n = 9), and laparoscopically assisted staging surgery (n = 1). The histopathological results were mucinous cystadenoma (n = 25), mature cystic teratoma (n = 9), serous cystadenoma (n = 6), endometrioma (n = 5), mucinous borderline tumor (n = 4), follicular cyst (n = 2), and clear cell carcinoma (n = 1). Conclusion: Laparoscopic management of large ovarian tumors is feasible and efficient with appropriate patient selection and experience of surgeons.

Original languageEnglish
Pages (from-to)9-15
Number of pages7
JournalJournal of Obstetrics and Gynaecology Research
Volume38
Issue number1
DOIs
Publication statusPublished - 2012 Jan

Keywords

  • Efficacy
  • Feasibility
  • Laparoscopic surgery
  • Laparotomy
  • Ovarian tumor

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

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