Clinical Characteristics of 30 Cases of Laparoscopic Surgery for Ovarian Cysts in Second Trimester
10.3969/j.issn.1674-9081.2015.03.008
- VernacularTitle:中孕期腹腔镜卵巢手术30例临床特点
- Author:
Ping PENG
1
;
Lan ZHU
;
Jing-He LANG
;
Zhu-Feng LIU
;
Da-Wei SUN
;
Jin-Hua LENG
Author Information
1. 中国医学科学院 北京协和医学院 北京协和医院妇产科
- Keywords:
ovarian cyst;
laparoscopic surgery;
second trimester
- From:
Medical Journal of Peking Union Medical College Hospital
2015;(3):202-205
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the characteristics of laparoscopic surgery for ovarian cysts in second trimester .Methods Between April 2002 and December 2013 , 30 patients were treated with laparoscopic surgery for clinically suspected ovarian cyst in second trimester at Department of Obstetrics and Gynecology , Peking Union Medical College Hospital .Clinical data of these patients were reviewed for identification of clinical charac -teristics, and assessment of feasibility and indications of the surgery .Results Of the 30 patients, the mean age was (28.5 ±3.1) years, gestational age was (14.7 ±2.5) weeks, mean operation time was (50 ±20) mi-nutes, and mean length of hospital stay was (4.5 ±0.8 ) days.Between the patients with gestational age ≥16 weeks (11/30, 36.7%) and those with gestational age <16 week (19/30, 63.3%), no difference was noted in operation time (P>0.05).In the 30 patients, only 5 (16.7%) patients had known about the ovarian masses before pregnancy .The mean diameter of the masses was ( 9.0 ±5.4 ) cm.In the 12 patients ( 40%) who had masses with diameter ≥9 cm, the operation time was significantly longer than that in the 18 patients (60%) who had masses <9 cm ( P <0.05 ) .Five patients ( 16.7%) received emergency surgery , including 2 cases (6.7%) receiving simple salpingo-oophorectomy for ovarian necrosis due to adnexal torsion .In the other 28 pa-tients (93.3%) , the ovary cysts were removed .Postoperative pathological examination showed teratoma in 18 cases (60%), serous cyst in 6 cases (20%), corpus luteum cyst in 3 cases (10%), mucinous cystadenoma in 2 cases (6.7%), and foam fibroma in 1 case (3.3%).One patient (3.3%) experienced postoperative con-tractions , which were cured by magnesium sulfate and progestin .No severe complications occurred .Twenty-six (86.7%) patients delivered healthy full-term infants, and the other 4 (13.3%) cases lost to follow-up.Con-clusions Laparoscopic surgery is a safe and feasible procedure for the treatment of ovarian cysts in second tri -mester of pregnancy .For adnexal masses persistent or suspicious for torsion , surgical management is warranted . Close maternal and fetal monitoring is essential during and after the operation .
