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
Hauptverfasser: Sadik, Salih, Onoglu, Ahmet S., Gokdeniz, Remzi, Turan, Ersadik, Taskin, Omur, Wheeler, James M.
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container_end_page 316
container_issue 3
container_start_page 313
container_title The Journal of the American Association of Gynecologic Laparoscopists
container_volume 6
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
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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. 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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. 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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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