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Is tumor size the limiting factor in a laparoscopic management for large ovarian cysts?
Purpose To assess the feasibility and short-term surgical outcome of laparoscopic surgery among women with large ovarian cysts. Methods We retrospectively evaluated consecutive 81 patients who received laparoscopic management for ovarian cysts with diameter ≥ 10 cm and without radiologic features su...
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Published in: | Archives of gynecology and obstetrics 2012-11, Vol.286 (5), p.1227-1232 |
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description | Purpose
To assess the feasibility and short-term surgical outcome of laparoscopic surgery among women with large ovarian cysts.
Methods
We retrospectively evaluated consecutive 81 patients who received laparoscopic management for ovarian cysts with diameter ≥ 10 cm and without radiologic features suggestive of malignancy, from March 2008 to September 2011.
Results
Laparoscopic surgery was successful in 77 (95.1 %) of the total patients. The mean (range) operative time, estimated blood loss (EBL) and hospital stay were 107.6 (55–250 min), 226.9 (10–1300 mL) and 6.1 (4–15 days), respectively. The surgical procedures performed included salpingooophorectomy (SO) (
n
= 44), ovarian cystectomy (OC) (
n
= 22), adhesiolysis (
n
= 1), salpingectomy (
n
= 2) and total laparoscopic hysterectomy (TLH) with SO (
n
= 8). Conversion to laparotomy occurred with four patients. One patient had postoperative bleeding and one had minor complications associated with wound oozing at the umbilical port site. Histopathological examination revealed benign tumors in 76 patients (93.8 %), borderline ovarian tumor in three patients (3.7 %) and invasive epithelial ovarian cancer in two patients (2.5 %). Clinicopathological variables according to tumor size were not statistically different. Complications did not appear in any patients during the follow-up period.
Conclusion
With proper patient selection, laparoscopy is a feasible and safe treatment for women with large ovarian cysts and tumor size did not have effect on laparoscopic management. However, surgeons should carefully consider the potential risk of malignancy in such patients. |
doi_str_mv | 10.1007/s00404-012-2445-9 |
format | article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1112676927</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1112676927</sourcerecordid><originalsourceid>FETCH-LOGICAL-c438t-47212a0873b61ae470c61711a69cc8a4fd7980bfec1a29dcd94ef08dfddac06f3</originalsourceid><addsrcrecordid>eNp1kE1LXTEQhkOp1FvtD-imBLrp5uhMTszHSkT6IQjdKC7D3JzkNnI-bpNzBP315nJtC0JXE5hn3pk8jH1EOEEAfVoAJMgGUDRCyrPGvmErlK1oQCO-ZSuwuzcofcjel3IPFTRGvWOHQmiLrcEVu7sqfF6GKfOSngKffwXepyHNadzwSH6ujTRy4j1tKU_FT9vk-UAjbcIQxpnHCvSUN4FPD5QTjdw_lrmcH7ODSH0JH17qEbv99vXm8kdz_fP71eXFdeNla-ZGaoGCwOh2rZCC1OAV1uNJWe8Nydhpa2Adg0cStvOdlSGC6WLXkQcV2yP2ZZ-7zdPvJZTZDan40Pc0hmkpDhGF0soKXdHPr9D7acljvc4JodDoM407CveUr98tOUS3zWmg_OgQ3M6621t3VabbWXe2znx6SV7WQ-j-TvzRXAGxB0ptjZuQ_63-f-ozXPGMsA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2261875717</pqid></control><display><type>article</type><title>Is tumor size the limiting factor in a laparoscopic management for large ovarian cysts?</title><source>Springer Nature</source><creator>Lim, Soyi ; Lee, Kwang-Beom ; Chon, Seung-Ju ; Park, Chan-Yong</creator><creatorcontrib>Lim, Soyi ; Lee, Kwang-Beom ; Chon, Seung-Ju ; Park, Chan-Yong</creatorcontrib><description>Purpose
To assess the feasibility and short-term surgical outcome of laparoscopic surgery among women with large ovarian cysts.
Methods
We retrospectively evaluated consecutive 81 patients who received laparoscopic management for ovarian cysts with diameter ≥ 10 cm and without radiologic features suggestive of malignancy, from March 2008 to September 2011.
Results
Laparoscopic surgery was successful in 77 (95.1 %) of the total patients. The mean (range) operative time, estimated blood loss (EBL) and hospital stay were 107.6 (55–250 min), 226.9 (10–1300 mL) and 6.1 (4–15 days), respectively. The surgical procedures performed included salpingooophorectomy (SO) (
n
= 44), ovarian cystectomy (OC) (
n
= 22), adhesiolysis (
n
= 1), salpingectomy (
n
= 2) and total laparoscopic hysterectomy (TLH) with SO (
n
= 8). Conversion to laparotomy occurred with four patients. One patient had postoperative bleeding and one had minor complications associated with wound oozing at the umbilical port site. Histopathological examination revealed benign tumors in 76 patients (93.8 %), borderline ovarian tumor in three patients (3.7 %) and invasive epithelial ovarian cancer in two patients (2.5 %). Clinicopathological variables according to tumor size were not statistically different. Complications did not appear in any patients during the follow-up period.
Conclusion
With proper patient selection, laparoscopy is a feasible and safe treatment for women with large ovarian cysts and tumor size did not have effect on laparoscopic management. However, surgeons should carefully consider the potential risk of malignancy in such patients.</description><identifier>ISSN: 0932-0067</identifier><identifier>EISSN: 1432-0711</identifier><identifier>DOI: 10.1007/s00404-012-2445-9</identifier><identifier>PMID: 22791381</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject>Adenocarcinoma, Mucinous - drug therapy ; Adenocarcinoma, Mucinous - pathology ; Adenocarcinoma, Mucinous - surgery ; Adolescent ; Adult ; Aged ; Analysis of Variance ; Blood Loss, Surgical ; Carcinoma, Ovarian Epithelial ; Cysts ; Endocrinology ; Female ; General Gynecology ; Gynecology ; Human Genetics ; Humans ; Hysterectomy ; Laparoscopy ; Laparoscopy - adverse effects ; Length of Stay ; Medicine ; Medicine & Public Health ; Middle Aged ; Neoplasms, Glandular and Epithelial - drug therapy ; Neoplasms, Glandular and Epithelial - pathology ; Neoplasms, Glandular and Epithelial - surgery ; Obstetrics/Perinatology/Midwifery ; Operative Time ; Ovarian cancer ; Ovarian Cysts - pathology ; Ovarian Cysts - surgery ; Ovarian Neoplasms - drug therapy ; Ovarian Neoplasms - pathology ; Ovarian Neoplasms - surgery ; Ovariectomy ; Patients ; Retrospective Studies ; Salpingectomy ; Tissue Adhesions - surgery ; Tumor Burden ; Young Adult</subject><ispartof>Archives of gynecology and obstetrics, 2012-11, Vol.286 (5), p.1227-1232</ispartof><rights>Springer-Verlag 2012</rights><rights>Archives of Gynecology and Obstetrics is a copyright of Springer, (2012). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c438t-47212a0873b61ae470c61711a69cc8a4fd7980bfec1a29dcd94ef08dfddac06f3</citedby><cites>FETCH-LOGICAL-c438t-47212a0873b61ae470c61711a69cc8a4fd7980bfec1a29dcd94ef08dfddac06f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22791381$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lim, Soyi</creatorcontrib><creatorcontrib>Lee, Kwang-Beom</creatorcontrib><creatorcontrib>Chon, Seung-Ju</creatorcontrib><creatorcontrib>Park, Chan-Yong</creatorcontrib><title>Is tumor size the limiting factor in a laparoscopic management for large ovarian cysts?</title><title>Archives of gynecology and obstetrics</title><addtitle>Arch Gynecol Obstet</addtitle><addtitle>Arch Gynecol Obstet</addtitle><description>Purpose
To assess the feasibility and short-term surgical outcome of laparoscopic surgery among women with large ovarian cysts.
Methods
We retrospectively evaluated consecutive 81 patients who received laparoscopic management for ovarian cysts with diameter ≥ 10 cm and without radiologic features suggestive of malignancy, from March 2008 to September 2011.
Results
Laparoscopic surgery was successful in 77 (95.1 %) of the total patients. The mean (range) operative time, estimated blood loss (EBL) and hospital stay were 107.6 (55–250 min), 226.9 (10–1300 mL) and 6.1 (4–15 days), respectively. The surgical procedures performed included salpingooophorectomy (SO) (
n
= 44), ovarian cystectomy (OC) (
n
= 22), adhesiolysis (
n
= 1), salpingectomy (
n
= 2) and total laparoscopic hysterectomy (TLH) with SO (
n
= 8). Conversion to laparotomy occurred with four patients. One patient had postoperative bleeding and one had minor complications associated with wound oozing at the umbilical port site. Histopathological examination revealed benign tumors in 76 patients (93.8 %), borderline ovarian tumor in three patients (3.7 %) and invasive epithelial ovarian cancer in two patients (2.5 %). Clinicopathological variables according to tumor size were not statistically different. Complications did not appear in any patients during the follow-up period.
Conclusion
With proper patient selection, laparoscopy is a feasible and safe treatment for women with large ovarian cysts and tumor size did not have effect on laparoscopic management. However, surgeons should carefully consider the potential risk of malignancy in such patients.</description><subject>Adenocarcinoma, Mucinous - drug therapy</subject><subject>Adenocarcinoma, Mucinous - pathology</subject><subject>Adenocarcinoma, Mucinous - surgery</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Analysis of Variance</subject><subject>Blood Loss, Surgical</subject><subject>Carcinoma, Ovarian Epithelial</subject><subject>Cysts</subject><subject>Endocrinology</subject><subject>Female</subject><subject>General Gynecology</subject><subject>Gynecology</subject><subject>Human Genetics</subject><subject>Humans</subject><subject>Hysterectomy</subject><subject>Laparoscopy</subject><subject>Laparoscopy - adverse effects</subject><subject>Length of Stay</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Neoplasms, Glandular and Epithelial - drug therapy</subject><subject>Neoplasms, Glandular and Epithelial - pathology</subject><subject>Neoplasms, Glandular and Epithelial - surgery</subject><subject>Obstetrics/Perinatology/Midwifery</subject><subject>Operative Time</subject><subject>Ovarian cancer</subject><subject>Ovarian Cysts - pathology</subject><subject>Ovarian Cysts - surgery</subject><subject>Ovarian Neoplasms - drug therapy</subject><subject>Ovarian Neoplasms - pathology</subject><subject>Ovarian Neoplasms - surgery</subject><subject>Ovariectomy</subject><subject>Patients</subject><subject>Retrospective Studies</subject><subject>Salpingectomy</subject><subject>Tissue Adhesions - surgery</subject><subject>Tumor Burden</subject><subject>Young Adult</subject><issn>0932-0067</issn><issn>1432-0711</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><recordid>eNp1kE1LXTEQhkOp1FvtD-imBLrp5uhMTszHSkT6IQjdKC7D3JzkNnI-bpNzBP315nJtC0JXE5hn3pk8jH1EOEEAfVoAJMgGUDRCyrPGvmErlK1oQCO-ZSuwuzcofcjel3IPFTRGvWOHQmiLrcEVu7sqfF6GKfOSngKffwXepyHNadzwSH6ujTRy4j1tKU_FT9vk-UAjbcIQxpnHCvSUN4FPD5QTjdw_lrmcH7ODSH0JH17qEbv99vXm8kdz_fP71eXFdeNla-ZGaoGCwOh2rZCC1OAV1uNJWe8Nydhpa2Adg0cStvOdlSGC6WLXkQcV2yP2ZZ-7zdPvJZTZDan40Pc0hmkpDhGF0soKXdHPr9D7acljvc4JodDoM407CveUr98tOUS3zWmg_OgQ3M6621t3VabbWXe2znx6SV7WQ-j-TvzRXAGxB0ptjZuQ_63-f-ozXPGMsA</recordid><startdate>20121101</startdate><enddate>20121101</enddate><creator>Lim, Soyi</creator><creator>Lee, Kwang-Beom</creator><creator>Chon, Seung-Ju</creator><creator>Park, Chan-Yong</creator><general>Springer-Verlag</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20121101</creationdate><title>Is tumor size the limiting factor in a laparoscopic management for large ovarian cysts?</title><author>Lim, Soyi ; Lee, Kwang-Beom ; Chon, Seung-Ju ; Park, Chan-Yong</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c438t-47212a0873b61ae470c61711a69cc8a4fd7980bfec1a29dcd94ef08dfddac06f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adenocarcinoma, Mucinous - drug therapy</topic><topic>Adenocarcinoma, Mucinous - pathology</topic><topic>Adenocarcinoma, Mucinous - surgery</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Analysis of Variance</topic><topic>Blood Loss, Surgical</topic><topic>Carcinoma, Ovarian Epithelial</topic><topic>Cysts</topic><topic>Endocrinology</topic><topic>Female</topic><topic>General Gynecology</topic><topic>Gynecology</topic><topic>Human Genetics</topic><topic>Humans</topic><topic>Hysterectomy</topic><topic>Laparoscopy</topic><topic>Laparoscopy - adverse effects</topic><topic>Length of Stay</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Neoplasms, Glandular and Epithelial - drug therapy</topic><topic>Neoplasms, Glandular and Epithelial - pathology</topic><topic>Neoplasms, Glandular and Epithelial - surgery</topic><topic>Obstetrics/Perinatology/Midwifery</topic><topic>Operative Time</topic><topic>Ovarian cancer</topic><topic>Ovarian Cysts - pathology</topic><topic>Ovarian Cysts - surgery</topic><topic>Ovarian Neoplasms - drug therapy</topic><topic>Ovarian Neoplasms - pathology</topic><topic>Ovarian Neoplasms - surgery</topic><topic>Ovariectomy</topic><topic>Patients</topic><topic>Retrospective Studies</topic><topic>Salpingectomy</topic><topic>Tissue Adhesions - surgery</topic><topic>Tumor Burden</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lim, Soyi</creatorcontrib><creatorcontrib>Lee, Kwang-Beom</creatorcontrib><creatorcontrib>Chon, Seung-Ju</creatorcontrib><creatorcontrib>Park, Chan-Yong</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection (Proquest)</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of gynecology and obstetrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lim, Soyi</au><au>Lee, Kwang-Beom</au><au>Chon, Seung-Ju</au><au>Park, Chan-Yong</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Is tumor size the limiting factor in a laparoscopic management for large ovarian cysts?</atitle><jtitle>Archives of gynecology and obstetrics</jtitle><stitle>Arch Gynecol Obstet</stitle><addtitle>Arch Gynecol Obstet</addtitle><date>2012-11-01</date><risdate>2012</risdate><volume>286</volume><issue>5</issue><spage>1227</spage><epage>1232</epage><pages>1227-1232</pages><issn>0932-0067</issn><eissn>1432-0711</eissn><abstract>Purpose
To assess the feasibility and short-term surgical outcome of laparoscopic surgery among women with large ovarian cysts.
Methods
We retrospectively evaluated consecutive 81 patients who received laparoscopic management for ovarian cysts with diameter ≥ 10 cm and without radiologic features suggestive of malignancy, from March 2008 to September 2011.
Results
Laparoscopic surgery was successful in 77 (95.1 %) of the total patients. The mean (range) operative time, estimated blood loss (EBL) and hospital stay were 107.6 (55–250 min), 226.9 (10–1300 mL) and 6.1 (4–15 days), respectively. The surgical procedures performed included salpingooophorectomy (SO) (
n
= 44), ovarian cystectomy (OC) (
n
= 22), adhesiolysis (
n
= 1), salpingectomy (
n
= 2) and total laparoscopic hysterectomy (TLH) with SO (
n
= 8). Conversion to laparotomy occurred with four patients. One patient had postoperative bleeding and one had minor complications associated with wound oozing at the umbilical port site. Histopathological examination revealed benign tumors in 76 patients (93.8 %), borderline ovarian tumor in three patients (3.7 %) and invasive epithelial ovarian cancer in two patients (2.5 %). Clinicopathological variables according to tumor size were not statistically different. Complications did not appear in any patients during the follow-up period.
Conclusion
With proper patient selection, laparoscopy is a feasible and safe treatment for women with large ovarian cysts and tumor size did not have effect on laparoscopic management. However, surgeons should carefully consider the potential risk of malignancy in such patients.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>22791381</pmid><doi>10.1007/s00404-012-2445-9</doi><tpages>6</tpages></addata></record> |
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subjects | Adenocarcinoma, Mucinous - drug therapy Adenocarcinoma, Mucinous - pathology Adenocarcinoma, Mucinous - surgery Adolescent Adult Aged Analysis of Variance Blood Loss, Surgical Carcinoma, Ovarian Epithelial Cysts Endocrinology Female General Gynecology Gynecology Human Genetics Humans Hysterectomy Laparoscopy Laparoscopy - adverse effects Length of Stay Medicine Medicine & Public Health Middle Aged Neoplasms, Glandular and Epithelial - drug therapy Neoplasms, Glandular and Epithelial - pathology Neoplasms, Glandular and Epithelial - surgery Obstetrics/Perinatology/Midwifery Operative Time Ovarian cancer Ovarian Cysts - pathology Ovarian Cysts - surgery Ovarian Neoplasms - drug therapy Ovarian Neoplasms - pathology Ovarian Neoplasms - surgery Ovariectomy Patients Retrospective Studies Salpingectomy Tissue Adhesions - surgery Tumor Burden Young Adult |
title | Is tumor size the limiting factor in a laparoscopic management for large ovarian cysts? |
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