Laparoscopy-assisted cystectomy for large adnexal cysts

  • Ahmet Göçmen
  • Tuba Atak
  • Mustafa Uçar
  • Fatih Şanlıkal
Original Article

DOI: 10.1007/s00404-008-0651-2

Cite this article as:
Göçmen, A., Atak, T., Uçar, M. et al. Arch Gynecol Obstet (2009) 279: 17. doi:10.1007/s00404-008-0651-2

Abstract

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.

Keywords

Large adnexal cysts Laparoscopy-assisted surgery 

Copyright information

© Springer-Verlag 2008

Authors and Affiliations

  • Ahmet Göçmen
    • 1
  • Tuba Atak
    • 1
  • Mustafa Uçar
    • 1
  • Fatih Şanlıkal
    • 1
  1. 1.Departments of Obsterics and GynecologyÜmraniye Education and Research HospitalIstanbulTurkey

Personalised recommendations