To assess the feasibility and outcome of laparoscopic surgery for the management of extremely large ovarian cysts. From July 2000 to December 2003, 21 patients with extremely large ovarian cysts were managed laparoscopically. The masses were cystic or complex, reached the umbilicus or higher, and were not associated with ascites or enlarged pelvic or para-aortic lymph nodes on computed tomography scan. Serum CA 125 levels were within the normal range or mildly elevated (< 130 mIU/mL). The mean and median ages of the patients were 45 +/- 20 and 46 years, respectively (range 17-89 years). Seven women were postmenopausal and the rest were premenopausal. The patients underwent cystectomy or adnexectomy depending on each patient's age and obstetric history. Two laparoscopies were converted to laparotomy, one because of ovarian malignancy and the second because of technical difficulties related to morbid obesity and severe intra-abdominal adhesions. The postoperative recovery was uneventful in all women. With proper patient selection, the size of an ovarian cyst is not necessarily a contraindication for laparoscopic surgery.
Treatment of nonendometriotic benign adnexal cysts: a randomized comparison of laparoscopy and laparotomy
Analysis of prognostic factors in stage I epithelial ovarian carcinoma: importance of degree of differentiation and deoxyribonucleic acid ploidy in predicting relapse
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A randomized prospective study of laparoscopy and laparotomy in the management of benign ovarian masses
Influence of delayed staging laparotomy after laparoscopic removal of ovarian masses later found malignant
Risk factors contributing to early occurrence of port site metastases of laparoscopic surgery for malignancy
Single incision laparoscopic surgery ovarian cystectomy in large benign ovarian cysts using conventional instruments.
Single port gasless laparoscopy-assisted mini-laparotomic ovarian resection (SP-GLAMOR): reasonable treatment for large cystic ovarian tumors with suspicion of malignancy
Management of large adnexal tumors by isobaric laparoendoscopic single-site surgery with a wound retractor
Management of large cystic adnexal tumor by gasless laparoscopic-assisted surgery with wound retractor
Should adnexal mass size influence surgical approach? A series of 186 laparoscopically managed large adnexal masses
Risk for malignant and borderline ovarian neoplasms following basic preoperative evaluation by ultrasonography, ca125 level and age
Single port access laparoscopic surgery for large adnexal tumors: Initial 51 cases of a single institute
Laparoscopy compared with laparoscopically guided minilaparotomy for large adnexal masses: a randomized controlled trial
Short- and long-term outcomes of intraoperative spillage during laparoscopic removal of benign ovarian cysts.
A Postmenopausal Woman with Giant Ovarian Serous Cyst Adenoma: A Case Report with Brief Literature Review
Laparoendoscopic Single Site Surgery for the Treatment of Huge Ovarian Cysts Using an Angiocatheter Needle
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