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

8 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 1
Externally publishedYes

Fingerprint

Neoplasms
Teratoma
Follicular Cyst
Serous Cystadenoma
Mucinous Cystadenoma
Vaginal Hysterectomy
Cystectomy
Operative Surgical Procedures
Ovariectomy
Endometriosis
Laparoscopy
Laparotomy
Patient Selection
Medical Records
Length of Stay
Body Mass Index
History
Carcinoma
Surgeons

Keywords

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

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

Cite this

Laparoscopic management of large ovarian tumors : Clinical tips for overcoming common concerns. / Hong, Jin-Hwa; Choi, Joong Sub; Lee, Jung Hun; Son, Chang Eop; Jeon, Seung Wook; Bae, Jong Woon.

In: Journal of Obstetrics and Gynaecology Research, Vol. 38, No. 1, 01.01.2012, p. 9-15.

Research output: Contribution to journalArticle

Hong, Jin-Hwa ; Choi, Joong Sub ; Lee, Jung Hun ; Son, Chang Eop ; Jeon, Seung Wook ; Bae, Jong Woon. / Laparoscopic management of large ovarian tumors : Clinical tips for overcoming common concerns. In: Journal of Obstetrics and Gynaecology Research. 2012 ; Vol. 38, No. 1. pp. 9-15.
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