Laparoscopic management of large ovarian tumors: Clinical tips for overcoming common concerns
- Authors
- Hong J.H.; Choi J.S.; Lee J.H.; Son C.E.; Jeon S.W.; Bae J.W.
- Issue Date
- 2012
- Keywords
- Efficacy; Feasibility; Laparoscopic surgery; Laparotomy; Ovarian tumor
- Citation
- Journal of Obstetrics and Gynaecology Research, v.38, no.1, pp 9 - 15
- Pages
- 7
- Indexed
- SCIE
SCOPUS
- Journal Title
- Journal of Obstetrics and Gynaecology Research
- Volume
- 38
- Number
- 1
- Start Page
- 9
- End Page
- 15
- URI
- https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/12785
- DOI
- 10.1111/j.1447-0756.2011.01685.x
- ISSN
- 1341-8076
1447-0756
- 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. © 2011 Japan Society of Obstetrics and Gynecology.
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Collections - 2. Clinical Science > Department of Obstetrics and Gynecology > 1. Journal Articles
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