Laparoscopic-Assisted Excision of Benign Ovarian Tumor in Children With Ovarian Preservation

DOI Web Site

Bibliographic Information

Other Title
  • 小児良性卵巣腫瘍に対する卵巣を温存した腹腔鏡補助下腫瘍核出術
  • ショウニ リョウセイ ランソウ シュヨウ ニ タイスル ランソウ オ オンゾン シタ フククウキョウ ホジョ カ シュヨウカクシュツジュツ

Search this article

Description

Purpose: In surgical interventions of pediatric benign ovarian tumors, radical excision of the tumors and ovarian preservation are required. We evaluated the effectiveness of laparoscopic-assisted excision of benign ovarian tumor in children.<br>Methods: We retrospectively reviewed the medical records of pediatric patients who underwent laparoscopic-assisted excision of benign ovarian tumors between August 1994 and March 2013. An initial laparoscopic exploration was first undertaken to confirm the diagnosis and inspect the contralateral ovary. If ovarian torsion was found, detorsion would be performed. We performed aspiration of the cystic lesion and tumor excision with ovarian preservation through a short Pfannenstiel incision.<br>Results: Eight patients (7 mature teratomas, 1 serous cyst adenoma) underwent laparoscopic-assisted excision of ovarian tumor. Successful tumor excisions without intraoperative tumor spillage were accomplished in all cases. There were two cases with ovarian torsions. One patient underwent laparoscopic-assisted detorsion and tumor excision. In another patient, initial laparoscopic detorsion was performed with delayed laparoscopic-assisted tumor excision five days later. The median length of hospital stay was 4.1 days (range, 3–6 days). The median follow-up period was 17 months (range, 2–31 months). One patient had a mature teratoma in the contralateral ovary. All other patients showed no evidence of recurrence.<br>Conclusions: Laparoscopic-assisted excision of ovarian tumor is effective for benign ovarian tumors in children. This method may be able to accomplish radical excision of ovarian tumors and preservation.

Journal

Keywords

Details 詳細情報について

Report a problem

Back to top