Comparison of minimally invasive surgery and laparotomy in the treatment of adnexal masses

Pediatric borderline ovarian tumors: a retrospective analysis

“…The American College of Obstetricians and Gynecologist (ACOG) guidelines specify that laparoscopy is contraindicated in patients with adnexal masses suspicious for malignancy [28]. This is because of concerns for spillage of malignant tumor contents when a procedure is performed laparoscopically, although published data comparing laparotomy to laparoscopy in benign masses did not find a significant difference in rates of intraoperative cyst rupture when comparing these 2 surgical approaches [29][30][31]. The data on the prognostic implications of intraoperative spillage of malignant ovarian epithelial tumors are conflicting and the long-term impact is not well understood [32][33][34].…”

Ovarian epithelial tumors of low malignant potential: a case series of 5 adolescent patients

“…The ACOG guidelines specify that laparoscopy is contraindicated in patients with adnexal masses suspicious for malignancy [10]. This is because of concerns regarding spillage of malignant tumor contents when a procedure is done laparoscopically, although published data comparing laparotomy to laparoscopy in benign masses did not find a significant difference in rates of intraoperative cyst rupture when comparing these 2 surgical approaches [11][12][13]. The data on the prognostic implications of intraoperative spill of malignant ovarian epithelial tumors are conflicting and the long-term impact is not well understood [14][15][16].…”

Gynecologic robotic laparoendoscopic single-site surgery: prospective analysis of feasibility, safety, and technique

“…Multiple studies illustrate that laparoscopic and robotic approaches to various gynecological conditions improve quality of life with comparable or improved surgical outcomes compared with standard open abdominal procedures. [1][2][3][4][5][6] Despite the potential for excellent outcomes with laparoscopic gynecological surgery, multiport laparoscopy is not without risks. Most gynecological procedures require 3-5 trocar incisions, including muscle-splitting incisions.…”