Laparoscopic extirpation of a giant ovarian cyst

Postma, V.A.; Wegdam, Johannes A.; Janssen, Ignace M. C.

doi:10.1007/s00464-001-4212-z

Cited by 16 publications

(13 citation statements)

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“…Laparoscopic management of huge ovarian cysts has been described in previous case reports [4][5][6][7][8][9][10][11]. Despite this, most patients with huge ovarian cysts are managed by laparotomy.…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic Management of Huge Ovarian Cysts

Alobaid

Momen²,

Al-Obaid³

et al. 2010

Journal of Minimally Invasive Gynecology

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Objectives. Huge ovarian cysts are conventionally managed by laparotomy. We present 5 cases with huge ovarian cysts managed by laparoscopic endoscopic surgery without any complications. Materials and Methods. We describe five patients who had their surgeries conducted in a tertiary care center in Riyadh, Saudi Arabia (King Fahad Medical City). Results. Patients age ranged between 19 and 69 years. Tumor markers were normal for all patients. The maximum diameter of all cysts ranged between 18 and 42 cm as measured by ultrasound. The cysts were unilocular; in some patients, there were fine septations. All patients had open-entry laparoscopy. After evaluation of the cyst capsule, the cysts were drained under laparoscopic guidance, 1-12 liters were drained from the cysts (mean 5.2 L), and then laparoscopic oophorectomy was done. The final histopathology reports confirmed benign serous cystadenoma in four patients and one patient had a benign mucinous cystadenoma. There was minimal blood loss during surgeries and with no complications for all patients. Conclusion. There is still no consensus for the size limitation of ovarian cysts decided to be a contraindication for laparoscopic management. With advancing techniques, proper patients selection, and availability of experts in gynecologic endoscopy, it is possible to remove giant cyst by laparoscopy.

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Section: Introductionmentioning

confidence: 99%

Laparoscopic Management of Huge Ovarian Cysts

Alobaid

Momen²,

Al-Obaid³

et al. 2010

Journal of Minimally Invasive Gynecology

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“…Normal levels of tumor markers, especially serum CA 125 levels, support the benign characteristics of the cyst [4,5].…”

Section: Discussionmentioning

confidence: 90%

Seven-liter ovarian cyst in an adolescent treated by minimal access surgery: laparoscopy and open cystectomy

Coccia

Rizzello

Bracco

et al. 2009

Journal of Pediatric Surgery

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Laparoscopic approaches to giant ovarian cysts, particularly in adolescents, have critical management concerns as follows: risk of malignancy, risk of cyst rupture, and limited working space. A 15-year-old girl presented with a giant (N25 cm) ovarian serous cyst adenoma containing 7 L of fluid. At open laparoscopy, a giant, entirely cystic, smooth mass originating from the right ovary and lying between the symphysis and the xiphoid was observed. After intraabdominal fluid aspiration, open conservative cystectomy was performed, avoiding spillage. The patient made an uneventful postoperative recovery and was discharged on the second postoperative day. To our knowledge, this is the largest ovarian cyst treated conservatively in an adolescent. Minimal access surgery, laparoscopy and open cystectomy, can be safely proposed in this group of patients. Conservative surgery should always be evaluated for preservation of ovarian function in cases of giant ovarian cysts in adolescents. Published by Elsevier Inc.Large ovarian cysts in adolescents may present as a challenge to gynecologists. The patient's age, menstrual status, the size and structure of the cyst, risk of malignancy, and symptoms are critical in choosing treatment strategies.Laparoscopy represents the gold standard approach for the treatment of ovarian cysts. In the adolescent population, laparoscopy may be difficult, particularly when the cysts' sizes extend to the umbilicus because of limited working space, risk of rupture, and perioperative problems related to cardiorespiratory function [1].Currently, many treat large ovarian cysts in adolescents by ovariectomy, whereas a few try laparoscopic cystectomy after aspiration of the cyst (blindly or under ultrasound [US] guidance). These techniques do not rule out the risk of spillage and do not allow the surgeon to inspect the peritoneal cavity and the posterior cyst wall properly, which is considered a very important precaution to take before performing a cystectomy [2].We present a case of a 15-year-old virgin girl with a giant ovarian cyst that was treated by minimal access surgery, laparoscopy and open cystectomy.

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“…Currently, giant and benign ovarian cysts can be treated laparoscopically [21]. If the diagnosis is made preoperatively, a minimally invasive approach is preferred for our patients.…”

Section: Discussionmentioning

confidence: 98%

Giant cystic lesion mimicking pseudomyxoma peritonei

2005

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A case of intraabdominal giant cystic lesion that raised concern for pseudomyxoma peritonei preoperatively is presented here. A young woman underwent work-up for abdominal distension. Abdominal computed tomography suggested a diagnosis of pseudomyxoma peritonei. However, cystic degeneration of a giant myoma was found at surgery. There was no evidence of malignancy on histopathologic examination. This case illustrates that giant cystic lesions can mimic mucinous adenocarcinoma and pseudomyxoma peritonei.

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Laparoscopic extirpation of a giant ovarian cyst

Cited by 16 publications

References 0 publications

Laparoscopic Management of Huge Ovarian Cysts

Laparoscopic Management of Huge Ovarian Cysts

Seven-liter ovarian cyst in an adolescent treated by minimal access surgery: laparoscopy and open cystectomy

Giant cystic lesion mimicking pseudomyxoma peritonei

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