Laparoscopic management of selected adnexal masses
Abstract Study Objective. To investigate the significance, safety, and intraoperative and immediate postoperative outcomes of laparoscopic management of adnexal masses thought to be at low risk for malignancy. Design. Prospective cohort study (Canadian Task Force classification 11-2). Setting. Terti...
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Veröffentlicht in: | The Journal of the American Association of Gynecologic Laparoscopists 1999-08, Vol.6 (3), p.313-316 |
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container_title | The Journal of the American Association of Gynecologic Laparoscopists |
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creator | Sadik, Salih Onoglu, Ahmet S. Gokdeniz, Remzi Turan, Ersadik Taskin, Omur Wheeler, James M. |
description | Abstract
Study Objective. To investigate the significance, safety, and intraoperative and immediate postoperative outcomes of laparoscopic management of adnexal masses thought to be at low risk for malignancy.
Design. Prospective cohort study (Canadian Task Force classification 11-2).
Setting. Tertiary-care teaching hospital.
Patients. Two hundred twenty women undergoing laparoscopic surgery for adnexal masses.
Interventions. Laparoscopic treatment including cystectomy, oophorectomy, adnexectomy, and peritoneal cytology, and, if necessary, frozen sections. A histologic diagnosis was obtained in every patient.
Measurements and Main Results. Only one ovarian cancer and one borderline ovarian tumor were diagnosed by histologic examination, and both were managed by laparotomy. The remaining 218 patients had laparoscopy for benign adnexal masses.
Conclusion. Operative laparoscopy with the finding of incidental ovarian malignancy is rare, as shown by pathologic examination. With appropriate preoperative evaluation, laparoscopic surgery is technically feasible, safe, and advantageous, with minimal morbidity, and should replace laparotomy in the management of most adnexal masses. |
doi_str_mv | 10.1016/S1074-3804(99)80067-X |
format | Article |
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Study Objective. To investigate the significance, safety, and intraoperative and immediate postoperative outcomes of laparoscopic management of adnexal masses thought to be at low risk for malignancy.
Design. Prospective cohort study (Canadian Task Force classification 11-2).
Setting. Tertiary-care teaching hospital.
Patients. Two hundred twenty women undergoing laparoscopic surgery for adnexal masses.
Interventions. Laparoscopic treatment including cystectomy, oophorectomy, adnexectomy, and peritoneal cytology, and, if necessary, frozen sections. A histologic diagnosis was obtained in every patient.
Measurements and Main Results. Only one ovarian cancer and one borderline ovarian tumor were diagnosed by histologic examination, and both were managed by laparotomy. The remaining 218 patients had laparoscopy for benign adnexal masses.
Conclusion. Operative laparoscopy with the finding of incidental ovarian malignancy is rare, as shown by pathologic examination. With appropriate preoperative evaluation, laparoscopic surgery is technically feasible, safe, and advantageous, with minimal morbidity, and should replace laparotomy in the management of most adnexal masses.</description><identifier>ISSN: 1074-3804</identifier><identifier>EISSN: 2213-8870</identifier><identifier>DOI: 10.1016/S1074-3804(99)80067-X</identifier><identifier>PMID: 10459033</identifier><language>eng</language><publisher>United States</publisher><subject>Adnexal Diseases - diagnostic imaging ; Adnexal Diseases - pathology ; Adnexal Diseases - surgery ; Adolescent ; Adult ; Aged ; Cohort Studies ; Diagnosis, Differential ; Female ; Follow-Up Studies ; Humans ; Laparoscopy - methods ; Length of Stay ; Middle Aged ; Ovarian Cysts - diagnostic imaging ; Ovarian Cysts - pathology ; Ovarian Cysts - surgery ; Ovarian Neoplasms - diagnostic imaging ; Ovarian Neoplasms - pathology ; Ovarian Neoplasms - surgery ; Prospective Studies ; Sensitivity and Specificity ; Treatment Outcome ; Ultrasonography</subject><ispartof>The Journal of the American Association of Gynecologic Laparoscopists, 1999-08, Vol.6 (3), p.313-316</ispartof><rights>1999 The Journal of the American Association of Gynecologic Laparoscopists</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c390t-eff31f5c5916001ac855cfb8c8d738d624aca3b0148266e2646551b64eaa40613</citedby><cites>FETCH-LOGICAL-c390t-eff31f5c5916001ac855cfb8c8d738d624aca3b0148266e2646551b64eaa40613</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/10459033$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sadik, Salih</creatorcontrib><creatorcontrib>Onoglu, Ahmet S.</creatorcontrib><creatorcontrib>Gokdeniz, Remzi</creatorcontrib><creatorcontrib>Turan, Ersadik</creatorcontrib><creatorcontrib>Taskin, Omur</creatorcontrib><creatorcontrib>Wheeler, James M.</creatorcontrib><title>Laparoscopic management of selected adnexal masses</title><title>The Journal of the American Association of Gynecologic Laparoscopists</title><addtitle>J Am Assoc Gynecol Laparosc</addtitle><description>Abstract
Study Objective. To investigate the significance, safety, and intraoperative and immediate postoperative outcomes of laparoscopic management of adnexal masses thought to be at low risk for malignancy.
Design. Prospective cohort study (Canadian Task Force classification 11-2).
Setting. Tertiary-care teaching hospital.
Patients. Two hundred twenty women undergoing laparoscopic surgery for adnexal masses.
Interventions. Laparoscopic treatment including cystectomy, oophorectomy, adnexectomy, and peritoneal cytology, and, if necessary, frozen sections. A histologic diagnosis was obtained in every patient.
Measurements and Main Results. Only one ovarian cancer and one borderline ovarian tumor were diagnosed by histologic examination, and both were managed by laparotomy. The remaining 218 patients had laparoscopy for benign adnexal masses.
Conclusion. Operative laparoscopy with the finding of incidental ovarian malignancy is rare, as shown by pathologic examination. With appropriate preoperative evaluation, laparoscopic surgery is technically feasible, safe, and advantageous, with minimal morbidity, and should replace laparotomy in the management of most adnexal masses.</description><subject>Adnexal Diseases - diagnostic imaging</subject><subject>Adnexal Diseases - pathology</subject><subject>Adnexal Diseases - surgery</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Cohort Studies</subject><subject>Diagnosis, Differential</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Laparoscopy - methods</subject><subject>Length of Stay</subject><subject>Middle Aged</subject><subject>Ovarian Cysts - diagnostic imaging</subject><subject>Ovarian Cysts - pathology</subject><subject>Ovarian Cysts - surgery</subject><subject>Ovarian Neoplasms - diagnostic imaging</subject><subject>Ovarian Neoplasms - pathology</subject><subject>Ovarian Neoplasms - surgery</subject><subject>Prospective Studies</subject><subject>Sensitivity and Specificity</subject><subject>Treatment Outcome</subject><subject>Ultrasonography</subject><issn>1074-3804</issn><issn>2213-8870</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkE1Lw0AQhhdRbK3-BCUn0UN0NvuR3ZOU4hcUPKjQ27LZTCSSL7Op6L932xTx5mkO87wzvA8hpxSuKFB5_Uwh5TFTwC-0vlQAMo1Xe2SaJJTFSqWwT6a_yIQcef8OkKRSp4dkQoELDYxNSbK0ne1b79qudFFtG_uGNTZD1BaRxwrdgHlk8wa_bBXW3qM_JgeFrTye7OaMvN7dviwe4uXT_eNivowd0zDEWBSMFsIJTSUAtU4J4YpMOZWnTOUy4dZZlgHlKpESE8mlEDSTHK3lICmbkfPxbte3H2v0g6lL77CqbIPt2huptQ69VQDFCLpQxPdYmK4va9t_GwpmI8tsZZmNCaO12coyq5A72z1YZzXmf1KjnQDcjACGmp8l9sa7EhuHedkHMyZvy39e_ABGQHiT</recordid><startdate>19990801</startdate><enddate>19990801</enddate><creator>Sadik, Salih</creator><creator>Onoglu, Ahmet S.</creator><creator>Gokdeniz, Remzi</creator><creator>Turan, Ersadik</creator><creator>Taskin, Omur</creator><creator>Wheeler, James M.</creator><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>19990801</creationdate><title>Laparoscopic management of selected adnexal masses</title><author>Sadik, Salih ; Onoglu, Ahmet S. ; Gokdeniz, Remzi ; Turan, Ersadik ; Taskin, Omur ; Wheeler, James M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c390t-eff31f5c5916001ac855cfb8c8d738d624aca3b0148266e2646551b64eaa40613</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Adnexal Diseases - diagnostic imaging</topic><topic>Adnexal Diseases - pathology</topic><topic>Adnexal Diseases - surgery</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Cohort Studies</topic><topic>Diagnosis, Differential</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Laparoscopy - methods</topic><topic>Length of Stay</topic><topic>Middle Aged</topic><topic>Ovarian Cysts - diagnostic imaging</topic><topic>Ovarian Cysts - pathology</topic><topic>Ovarian Cysts - surgery</topic><topic>Ovarian Neoplasms - diagnostic imaging</topic><topic>Ovarian Neoplasms - pathology</topic><topic>Ovarian Neoplasms - surgery</topic><topic>Prospective Studies</topic><topic>Sensitivity and Specificity</topic><topic>Treatment Outcome</topic><topic>Ultrasonography</topic><toplevel>online_resources</toplevel><creatorcontrib>Sadik, Salih</creatorcontrib><creatorcontrib>Onoglu, Ahmet S.</creatorcontrib><creatorcontrib>Gokdeniz, Remzi</creatorcontrib><creatorcontrib>Turan, Ersadik</creatorcontrib><creatorcontrib>Taskin, Omur</creatorcontrib><creatorcontrib>Wheeler, James M.</creatorcontrib><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>The Journal of the American Association of Gynecologic Laparoscopists</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sadik, Salih</au><au>Onoglu, Ahmet S.</au><au>Gokdeniz, Remzi</au><au>Turan, Ersadik</au><au>Taskin, Omur</au><au>Wheeler, James M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Laparoscopic management of selected adnexal masses</atitle><jtitle>The Journal of the American Association of Gynecologic Laparoscopists</jtitle><addtitle>J Am Assoc Gynecol Laparosc</addtitle><date>1999-08-01</date><risdate>1999</risdate><volume>6</volume><issue>3</issue><spage>313</spage><epage>316</epage><pages>313-316</pages><issn>1074-3804</issn><eissn>2213-8870</eissn><abstract>Abstract
Study Objective. To investigate the significance, safety, and intraoperative and immediate postoperative outcomes of laparoscopic management of adnexal masses thought to be at low risk for malignancy.
Design. Prospective cohort study (Canadian Task Force classification 11-2).
Setting. Tertiary-care teaching hospital.
Patients. Two hundred twenty women undergoing laparoscopic surgery for adnexal masses.
Interventions. Laparoscopic treatment including cystectomy, oophorectomy, adnexectomy, and peritoneal cytology, and, if necessary, frozen sections. A histologic diagnosis was obtained in every patient.
Measurements and Main Results. Only one ovarian cancer and one borderline ovarian tumor were diagnosed by histologic examination, and both were managed by laparotomy. The remaining 218 patients had laparoscopy for benign adnexal masses.
Conclusion. Operative laparoscopy with the finding of incidental ovarian malignancy is rare, as shown by pathologic examination. With appropriate preoperative evaluation, laparoscopic surgery is technically feasible, safe, and advantageous, with minimal morbidity, and should replace laparotomy in the management of most adnexal masses.</abstract><cop>United States</cop><pmid>10459033</pmid><doi>10.1016/S1074-3804(99)80067-X</doi><tpages>4</tpages></addata></record> |
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subjects | Adnexal Diseases - diagnostic imaging Adnexal Diseases - pathology Adnexal Diseases - surgery Adolescent Adult Aged Cohort Studies Diagnosis, Differential Female Follow-Up Studies Humans Laparoscopy - methods Length of Stay Middle Aged Ovarian Cysts - diagnostic imaging Ovarian Cysts - pathology Ovarian Cysts - surgery Ovarian Neoplasms - diagnostic imaging Ovarian Neoplasms - pathology Ovarian Neoplasms - surgery Prospective Studies Sensitivity and Specificity Treatment Outcome Ultrasonography |
title | Laparoscopic management of selected adnexal masses |
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