Laparoscopic management of ovarian pathologic lesions.
- Author:
Yun Kyoung LIM
1
;
Young Ah KIM
;
Mi Yeong JO
;
Sang Tae AHN
;
Mi Ran KIM
;
Kyung Joo HWANG
;
Hee Sug RYU
Author Information
1. Department of Obstetrics and Gynecology, Ajou University School of Medicine, Ajou University, Suwon, Korea.
- Publication Type:Original Article
- Keywords:
Laparoscopy;
Ovarian Pathology
- MeSH:
Abscess;
Biopsy;
Cystadenoma;
Cystectomy;
Endometriosis;
Female;
Fibroma;
Hematoma;
Humans;
Laparoscopy;
Laparotomy;
Length of Stay;
Operative Time;
Ovariectomy;
Pathology;
Retrospective Studies;
Salpingectomy;
Teratoma
- From:Korean Journal of Obstetrics and Gynecology
2002;45(4):617-622
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVE: To assess the advantages, disadvantages, applicability, and complications of operative laparoscopy in ovarian pathologic lesions. MATERIALS AND METHODS: A retrospective case series which compares 354 patients who had laparoscopic surgery at Ajou University Hospital from June, 1994 to September, 2001 for ovarian pathology. RESULTS: The patient's ages ranged from 13 to 77 years, and their mean age was 30.9 years. Most of the lesions were less than 7 cm in size and unilateral. The operations performed were cystectomy in 225 cases (63.6%), salpingooophorectomy, oophorectomy, salpingectomy and fenestration or biopsy in order. Operative times were between 10 and 240 minutes (mean: 74.2 minutes). Pathologic examinations of unilateral ovarian tumors were performed in 305 cases. The most common pathology of unilateral ovarian tumor was teratoma (107/305, 35.1%), endometrioma and cystadenoma in order. Malignancies were found in 4 cases including borderline malignancy (1.3%). Pathologies of bilateral ovarian tumor were endometrioma (31/41, 75.6%), teratoma, and fibroma in order. Postoperative hospital stays were from 0 days to 19 days (mean: 2.5 days). There were 7 surgical complications including 3 vessel injury related hematomas, 1 abscess formation, and 3 exploratory laparotomy. CONCLUSIONS: We concluded that operative laparoscopy was useful in surgery of ovarian lesions, if there are carefully selected patients, standard procedures, and skilled laparoscopic surgeons.