Successful Laparoscopic Observation and Resection of Neonatal Ovarian Cyst Through the Wound of Laparoscopy : A Case Report

Iiboshi Yasuhiko, Okada Toshihiro, Tazuke Yuko, Fujimoto Jiro

doi:10.11164/jjsps.43.1_48

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Other Title

腹腔鏡による観察後にポート部より摘出し得た新生児卵巣嚢胞の1例
症例報告腹腔鏡による観察後にポート部より摘出し得た新生児卵巣嚢胞の1例
ショウレイホウコクフククウキョウニヨルカンサツゴニポートブヨリテキシュツシエタシンセイジランソウノウホウノ 1レイ

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Abstract

Antenatal diagnosis by ultrasonography and laparoscopic treatment in the newborn has become widespread. We show a case of successful observation and resection of a neonatal right ovarian cyst through the wound of laparoscopy. An antenatal ultrasound scan done at 32 weeks showed a cystic lesion in the abdomen. Following an uneventful pregnancy, a 37-week female child was born with a birth weight of 3,198g. An ultrasound of the abdomen showed a 5.9×5.1cm cystic lesion in the right ovary. The cyst moved into the left abdomen on day 2 of life, and again moved into the right abdomen on day 3. The cyst seemed to become torsed, and an emergent operation was performed. A single-port technique was utilized on day 4 of life. Under general anesthesia, a 12-mm trocar was introduced infraumbilically by the open method. Videolaparoscopy was performed with a 10-mm fibreoptic laparoscope. The intraabdominal pressure was maintained at 6mmHg. A large simple ovarian cyst on a stretched and untorted right fallopian tube and normal left ovary was clearly visualized. The cyst wall was delivered through an infraumbilical port site to the outside. The cyst was aspirated, placed outside and decapsulated. Postoperative course was uneventful and a fine cosmetic result was obtained.

Journal

Journal of the Japanese Society of Pediatric Surgeons

Journal of the Japanese Society of Pediatric Surgeons 43 (1), 48-52, 2007

The Japanese Society of Pediatric Surgeons

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