Laparoscopic management of extremely large ovarian cysts
To assess the feasibility and outcome of laparoscopic surgery for the management of extremely large ovarian cysts. From July 2000 to December 2003, 21 patients with extremely large ovarian cysts were managed laparoscopically. The masses were cystic or complex, reached the umbilicus or higher, and we...
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| Veröffentlicht in: | Obstetrics and gynecology (New York. 1953) 2005-06, Vol.105 (6), p.1319-1322 |
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| creator | SAGIV, Ron GOLAN, Abraham GLEZERMAN, Marek |
| description | To assess the feasibility and outcome of laparoscopic surgery for the management of extremely large ovarian cysts.
From July 2000 to December 2003, 21 patients with extremely large ovarian cysts were managed laparoscopically. The masses were cystic or complex, reached the umbilicus or higher, and were not associated with ascites or enlarged pelvic or para-aortic lymph nodes on computed tomography scan. Serum CA 125 levels were within the normal range or mildly elevated (< 130 mIU/mL). The mean and median ages of the patients were 45 +/- 20 and 46 years, respectively (range 17-89 years). Seven women were postmenopausal and the rest were premenopausal. The patients underwent cystectomy or adnexectomy depending on each patient's age and obstetric history.
Two laparoscopies were converted to laparotomy, one because of ovarian malignancy and the second because of technical difficulties related to morbid obesity and severe intra-abdominal adhesions. The postoperative recovery was uneventful in all women.
With proper patient selection, the size of an ovarian cyst is not necessarily a contraindication for laparoscopic surgery. |
| doi_str_mv | 10.1097/01.AOG.0000159690.18634.f0 |
| format | Article |
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From July 2000 to December 2003, 21 patients with extremely large ovarian cysts were managed laparoscopically. The masses were cystic or complex, reached the umbilicus or higher, and were not associated with ascites or enlarged pelvic or para-aortic lymph nodes on computed tomography scan. Serum CA 125 levels were within the normal range or mildly elevated (< 130 mIU/mL). The mean and median ages of the patients were 45 +/- 20 and 46 years, respectively (range 17-89 years). Seven women were postmenopausal and the rest were premenopausal. The patients underwent cystectomy or adnexectomy depending on each patient's age and obstetric history.
Two laparoscopies were converted to laparotomy, one because of ovarian malignancy and the second because of technical difficulties related to morbid obesity and severe intra-abdominal adhesions. The postoperative recovery was uneventful in all women.
With proper patient selection, the size of an ovarian cyst is not necessarily a contraindication for laparoscopic surgery.</description><identifier>ISSN: 0029-7844</identifier><identifier>EISSN: 1873-233X</identifier><identifier>DOI: 10.1097/01.AOG.0000159690.18634.f0</identifier><identifier>PMID: 15932823</identifier><identifier>CODEN: OBGNAS</identifier><language>eng</language><publisher>New York, NY: Elsevier Science</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Biomarkers, Tumor - blood ; CA-125 Antigen - blood ; Female ; Gynecology. Andrology. Obstetrics ; Humans ; Laparoscopy ; Laparotomy ; Medical sciences ; Middle Aged ; Obesity, Morbid - complications ; Ovarian Cysts - pathology ; Ovarian Cysts - surgery ; Ovarian Neoplasms - surgery ; Postmenopause ; Premenopause ; Tissue Adhesions - complications</subject><ispartof>Obstetrics and gynecology (New York. 1953), 2005-06, Vol.105 (6), p.1319-1322</ispartof><rights>2005 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c347t-569b824b73d999716e980e547355733381ed9fbe5636dcb2fe3d229fcb1f22723</citedby><cites>FETCH-LOGICAL-c347t-569b824b73d999716e980e547355733381ed9fbe5636dcb2fe3d229fcb1f22723</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=16831046$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15932823$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>SAGIV, Ron</creatorcontrib><creatorcontrib>GOLAN, Abraham</creatorcontrib><creatorcontrib>GLEZERMAN, Marek</creatorcontrib><title>Laparoscopic management of extremely large ovarian cysts</title><title>Obstetrics and gynecology (New York. 1953)</title><addtitle>Obstet Gynecol</addtitle><description>To assess the feasibility and outcome of laparoscopic surgery for the management of extremely large ovarian cysts.
From July 2000 to December 2003, 21 patients with extremely large ovarian cysts were managed laparoscopically. The masses were cystic or complex, reached the umbilicus or higher, and were not associated with ascites or enlarged pelvic or para-aortic lymph nodes on computed tomography scan. Serum CA 125 levels were within the normal range or mildly elevated (< 130 mIU/mL). The mean and median ages of the patients were 45 +/- 20 and 46 years, respectively (range 17-89 years). Seven women were postmenopausal and the rest were premenopausal. The patients underwent cystectomy or adnexectomy depending on each patient's age and obstetric history.
Two laparoscopies were converted to laparotomy, one because of ovarian malignancy and the second because of technical difficulties related to morbid obesity and severe intra-abdominal adhesions. The postoperative recovery was uneventful in all women.
With proper patient selection, the size of an ovarian cyst is not necessarily a contraindication for laparoscopic surgery.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Biomarkers, Tumor - blood</subject><subject>CA-125 Antigen - blood</subject><subject>Female</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Laparoscopy</subject><subject>Laparotomy</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Obesity, Morbid - complications</subject><subject>Ovarian Cysts - pathology</subject><subject>Ovarian Cysts - surgery</subject><subject>Ovarian Neoplasms - surgery</subject><subject>Postmenopause</subject><subject>Premenopause</subject><subject>Tissue Adhesions - complications</subject><issn>0029-7844</issn><issn>1873-233X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkE1LAzEQhoMotlb_giyC3nZNMrv58FaKVqHQi4K3kM0mZWW_TLZi_72pLTSXIcPzzjAPQncEZwRL_ohJNl8vMxwfKSSTsS0Y5JnDZ2hKBIeUAnyeoynGVKZc5PkEXYXwteeZhEs0iTGggsIUiZUetO-D6YfaJK3u9Ma2thuT3iX2d_Tx0-ySRvuNTfof7WvdJWYXxnCNLpxugr051hn6eHl-X7ymq_XybTFfpQZyPqYFk6WgecmhklJywqwU2BY5h6LgACCIraQrbcGAVaakzkJFqXSmJI5STmGGHg5zB99_b20YVVsHY5tGd7bfBsW4xFgIEsGnA2jiOcFbpwZft9rvFMFq701hoqI3dfKm_r0ph2P49rhlW7a2OkWPoiJwfwR0MLpxXnemDieOCSA4Z_AH2F111Q</recordid><startdate>20050601</startdate><enddate>20050601</enddate><creator>SAGIV, Ron</creator><creator>GOLAN, Abraham</creator><creator>GLEZERMAN, Marek</creator><general>Elsevier Science</general><scope>IQODW</scope><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>7X8</scope></search><sort><creationdate>20050601</creationdate><title>Laparoscopic management of extremely large ovarian cysts</title><author>SAGIV, Ron ; GOLAN, Abraham ; GLEZERMAN, Marek</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c347t-569b824b73d999716e980e547355733381ed9fbe5636dcb2fe3d229fcb1f22723</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Biomarkers, Tumor - blood</topic><topic>CA-125 Antigen - blood</topic><topic>Female</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Laparoscopy</topic><topic>Laparotomy</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Obesity, Morbid - complications</topic><topic>Ovarian Cysts - pathology</topic><topic>Ovarian Cysts - surgery</topic><topic>Ovarian Neoplasms - surgery</topic><topic>Postmenopause</topic><topic>Premenopause</topic><topic>Tissue Adhesions - complications</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>SAGIV, Ron</creatorcontrib><creatorcontrib>GOLAN, Abraham</creatorcontrib><creatorcontrib>GLEZERMAN, Marek</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Obstetrics and gynecology (New York. 1953)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>SAGIV, Ron</au><au>GOLAN, Abraham</au><au>GLEZERMAN, Marek</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Laparoscopic management of extremely large ovarian cysts</atitle><jtitle>Obstetrics and gynecology (New York. 1953)</jtitle><addtitle>Obstet Gynecol</addtitle><date>2005-06-01</date><risdate>2005</risdate><volume>105</volume><issue>6</issue><spage>1319</spage><epage>1322</epage><pages>1319-1322</pages><issn>0029-7844</issn><eissn>1873-233X</eissn><coden>OBGNAS</coden><abstract>To assess the feasibility and outcome of laparoscopic surgery for the management of extremely large ovarian cysts.
From July 2000 to December 2003, 21 patients with extremely large ovarian cysts were managed laparoscopically. The masses were cystic or complex, reached the umbilicus or higher, and were not associated with ascites or enlarged pelvic or para-aortic lymph nodes on computed tomography scan. Serum CA 125 levels were within the normal range or mildly elevated (< 130 mIU/mL). The mean and median ages of the patients were 45 +/- 20 and 46 years, respectively (range 17-89 years). Seven women were postmenopausal and the rest were premenopausal. The patients underwent cystectomy or adnexectomy depending on each patient's age and obstetric history.
Two laparoscopies were converted to laparotomy, one because of ovarian malignancy and the second because of technical difficulties related to morbid obesity and severe intra-abdominal adhesions. The postoperative recovery was uneventful in all women.
With proper patient selection, the size of an ovarian cyst is not necessarily a contraindication for laparoscopic surgery.</abstract><cop>New York, NY</cop><pub>Elsevier Science</pub><pmid>15932823</pmid><doi>10.1097/01.AOG.0000159690.18634.f0</doi><tpages>4</tpages></addata></record> |
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| ispartof | Obstetrics and gynecology (New York. 1953), 2005-06, Vol.105 (6), p.1319-1322 |
| issn | 0029-7844 1873-233X |
| language | eng |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Adolescent Adult Aged Aged, 80 and over Biological and medical sciences Biomarkers, Tumor - blood CA-125 Antigen - blood Female Gynecology. Andrology. Obstetrics Humans Laparoscopy Laparotomy Medical sciences Middle Aged Obesity, Morbid - complications Ovarian Cysts - pathology Ovarian Cysts - surgery Ovarian Neoplasms - surgery Postmenopause Premenopause Tissue Adhesions - complications |
| title | Laparoscopic management of extremely large ovarian cysts |
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