AI Summary & Key Takeaways
AI InsightExcept this case, no other peri or postoperative complication was observed. 38(48.1 %) endometrioma, 12(15.1 %) simple cyst, 9(11.3%) serous cystadenoma, 9(11.3%) mature cystic teratoma, 4(5%) lutein cyst, 4(5%) corpus hemoragicum, 2(3%) mucinous cystadenoma and 1(1.2%) fibroma were diagnosed histopat-hologically.Conclusion: Laparoscopy is an effective and safe approach to benign adnexial masses and may decrease the rate of unnecessary laparotomies for preoperati-vely well assessed cases with bening ovarian cysts.
📌 3 Key Takeaways
Abstract
Objective: The aim of our study was to estimate the efficiency and safety of the laparoscopic approach to benign adnexal masses. Material and methods: Seventy-nine patients who underwent laparascopic intervention diagnosis with benign adnexal masses between January 2006 and January 2007 in our endoscopic surgery clinic were assesed retrospectively. All patients were evaluated with pelvic examination, transvaginal ultrasonography and tumor markers before operation to exclude malignancy. Patients were researched in terms of operation time, complication rate, conversion to laparatomy, length of hospital stay, malignancy rate and hystopathology results. Results: The mean age of the patients was 29.7±7.09 years, adnexal masses were unilateral in 62(78%ents and bilateral in 17(22%) patients. The average diameter of the cyst was 54.6±24 mm and the mean CA125 level was 30.7+2.9 U/ml. Mean operation time was 35.9±10.2 minutes, average length of stay was 1.6±0.9 days. In one patient laparoscopy was converted to laparatomy due to injury of arteria epigastrica inferior. Except this case, no other peri or postoperative complication was observed. 38(48.1 %) endometrioma, 12(15.1 %) simple cyst, 9(11.3%) serous cystadenoma, 9(11.3%) mature cystic teratoma, 4(5%) lutein cyst, 4(5%) corpus hemoragicum, 2(3%) mucinous cystadenoma and 1(1.2%) fibroma were diagnosed histopat-hologically.Conclusion: Laparoscopy is an effective and safe approach to benign adnexial masses and may decrease the rate of unnecessary laparotomies for preoperati-vely well assessed cases with bening ovarian cysts.
Özet
Amaç: Çalışmamızın amacı benign adneksial kitlelere laparoskopik yaklaşımın etkinliği ve güvenilirliğini değerlendirmektir. Materyal ve Metod: Ocak 2006 - Ocak 2007 tarihleri arasında benign adneksial kitle ön tanısıyla endoskopik cerrahi kliniğimizde laparoskopik girişim yapılan 79 hasta retrospektif olarak incelendi. Maligniteyi dışlamak amacıyla hastalar operasyon öncesi pelvik muayene, transvajinal ultrasonografi ve tümör belirteçleri ile değerlendirildi. Operasyon süresi, komplikasyon oranı, laparatomiye geçiş, hastanede kalış süresi, ma-lignite oranı ve histopatoloji sonuçları açısından hastalar incelendi. Bulgular: Hastaların ortalama yaşı 29.7±7.09 yıl olup adneksial kitleler 62(%78) hastada unilateral, 17(%22) hastada bilateraldi. Ortalama kist çapı 54.6±24 mm, ortalama CA125 düzeyi 30,7±2.9 U/ml idi. Ortalama operasyon süresi 35.8±10.2 dakika, ortalama hastanede kalış süresi 1.6±0.9 gün olarak saptandı. Bir hastada ar-teria epigastrica inferiorun yaralanmasına bağlı olarak laparatomiye geçiş dışında peri ya da postoperatif herhangi bir komplikasyona rastlanmadı. Histopatolojik olarak 38(%48.1) endometrioma, 12(%15.1) basit kist, 9(%11.3) seröz kistadenom, 9(%11.3) matür kistik tera-tom, 4(%5) lutein kist, 4(%5) hemorajik kist, 2(%3) mü- sinöz kistadenom, 1(%1.2) fibroma tanıları saptandı. Sonuç: Laparpskopi benign adneksial kitleler için etkin ve güvenli bir yaklaşımdır ve ameliyat öncesi iyi değerlendirilmiş olgularda benign over kistleri için yapılan gereksiz laparatomi oranlarını azaltabilir.