Laparoscopic versus open surgery for pregnancy complicated by benign ovarian tumor

Kotani, Yoshihisa; Shiota, Mitsuru; Umemoto, Masahiko; Tobiume, Takako; Tsuritani, Mitsuhiro; Shimaoka, Masao; Mizuno, Y; Ekawa, Yuka; Hoshiai, Hiroshi

doi:10.5180/jsgoe.27.489

Cited by 3 publications

(6 citation statements)

References 14 publications

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“…In our department, laparoscopy is performed by first attaining pneumoperitoneum through the umbilicus using a closed method and then inserting three 5-mm trocars, one in the median of the lower abdomen and one each to its right and left, and one 12-mm trocar through the umbilicus [ 7 ]. During pregnancy, all trocars are inserted more cranially than usual considering the enlarged uterus [ 13 , 14 ].…”

Section: Methodsmentioning

confidence: 99%

“…Once the ovaries are elevated, the deflated balloon is removed, and the metreurynter is then collected from the abdominal cavity. An ovarian tumorectomy is performed by making an incision halfway around the tumor along the equatorial line starting from the opposite side of the ovarian hilum, and the ovarian tumor alone is carefully removed to prevent cyst rupture [ 7 ]. The tumor is then transferred outside the body after its contents are aspirated inside an Endo Catch™ pouch (Medtronic Japan, Tokyo) inserted through the 12-mm trocar [ 7 ].…”

Section: Methodsmentioning

confidence: 99%

“…An ovarian tumorectomy is performed by making an incision halfway around the tumor along the equatorial line starting from the opposite side of the ovarian hilum, and the ovarian tumor alone is carefully removed to prevent cyst rupture [ 7 ]. The tumor is then transferred outside the body after its contents are aspirated inside an Endo Catch™ pouch (Medtronic Japan, Tokyo) inserted through the 12-mm trocar [ 7 ]. The patient is permitted to walk and eat on the day after surgery and is typically discharged 3–4 days after surgery.…”

Section: Methodsmentioning

confidence: 99%

“…Therefore, in our department, laparoscopic surgery is performed under pneumoperitoneum even in pregnant cases if diagnosed as benign [ 7 ]. However, the uterine manipulator cannot be used to elevate the uterus during pregnancy.…”

Section: Introductionmentioning

confidence: 99%

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Ovarian cyst elevation using a metreurynter for laparoscopic cystectomy of a benign ovarian cyst during pregnancy

Kotani

Murakami

Yamamoto

et al. 2021

BMC Pregnancy Childbirth

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Background A uterine manipulator cannot be used to elevate the ovary in benign ovarian surgery during pregnancy. This report describes our method of elevation of the ovary using a metreurynter with the success rate of the procedure and a comparison of surgical results and pregnancy outcomes between the successful and unsuccessful cases. Methods Between August 2003 and February 2020, 11 pregnant patients with a tumor found sunk in the Cul-de-sac underwent laparoscopic cystectomy for a benign ovarian cyst with a metreurynter. The surgical results, success and failure of the elevation by a metreurynter, pregnancy outcomes, and fetal status at delivery were evaluated. Results Elevation of ovarian tumors with a metreurynter was successful in nine cases. However, it was unsuccessful in the remaining two cases wherein the ovary was lifted with forceps while the uterus was in a compressed state. The operative time was also longer in these cases. The pregnancy prognosis, however, was good for both, successful and unsuccessful cases. Conclusions The metreurynter is an inexpensive and practical obstetric device, and its optimal use allows the performance of a procedure with minimal burden on a pregnant uterus. Therefore, we recommend the appropriate use of this method to enable effective laparoscopic cystectomy of ovarian tumors during pregnancy.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Ovarian cyst elevation using a metreurynter for laparoscopic cystectomy of a benign ovarian cyst during pregnancy

Kotani

Murakami

Yamamoto

et al. 2021

BMC Pregnancy Childbirth

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“…SAGES guidelines suggest that LC can be performed at all stages of pregnancy [18]. Early pregnancy (up to 13 weeks) is a period of fetal organogenesis, and the teratogenic effects of anesthesia on a fetus at such a stage remain unclear [19]. Notably however, physical surgery space is limited during late pregnancy.…”

Section: When Is the Best Time For Lc During Pregnancy?mentioning

confidence: 99%

Laparoscopic Cholecystectomy During Pregnancy: A Case Report and Review of Literature in Japan

Iwai

Makino

Yokoyama

et al. 2020

Cureus

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Clinical study on laparoscopic minimally invasive surgery and transumbilical single-port laparoscopic surgery in the treatment of benign ovarian tumours and its influence on ovarian functions

Liang,

Zhang,

Shi

et al. 2023

Journal of Minimal Access Surgery

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Objective: The objective of this study was to explore the influence of traditional laparoscopic surgery and transumbilical single-port laparoscopic surgery on ovarian function in patients with benign ovarian tumours. Materials and Methods: Forty-four patients with benign ovarian tumours who were treated in our hospital from January 2020 to June 2021 were selected and randomly divided into two groups, with 22 cases in each group according to random number table. The conventional group was treated with conventional laparoscopic surgery, while the modified group was treated with transumbilical single-port laparoscopic surgery. The measurement method was t-test, and the enumeration method was two tests. The clinical operation-related indicators, ovarian function (follicle-stimulating hormone, E2 and luteinising hormone), complication incidence, Visual Analogue Scale (VAS) and landscaping satisfaction scores of the two groups were compared. Results: There were no significant differences in complications and operation duration between the two groups (P > 0.05). After treatment, the ovarian function indexes and beautification satisfaction scores of the modified group were significantly superior to those of the conventional group (P < 0.05). Besides, the intraoperative bleeding volume, post-operative exhaust time, hospital stay and three-dimensional VAS scores on day 1 and day 3 after surgery of the modified group were lower than those of the conventional group (P < 0.05). Conclusion: Transumbilical single-port laparoscopic surgery for benign ovarian tumours has a significant clinical effect, which can effectively reduce bleeding during the operation, improve ovarian function, relieve surgical pain, promote rapid post-operative recovery and improve patients’ satisfaction with landscaping. It is worthy of clinical application.

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Laparoscopic versus open surgery for pregnancy complicated by benign ovarian tumor

Cited by 3 publications

References 14 publications

Ovarian cyst elevation using a metreurynter for laparoscopic cystectomy of a benign ovarian cyst during pregnancy

Ovarian cyst elevation using a metreurynter for laparoscopic cystectomy of a benign ovarian cyst during pregnancy

Laparoscopic Cholecystectomy During Pregnancy: A Case Report and Review of Literature in Japan

Clinical study on laparoscopic minimally invasive surgery and transumbilical single-port laparoscopic surgery in the treatment of benign ovarian tumours and its influence on ovarian functions

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