Giant Ovarian Cysts Treated by Single-Port Laparoscopic Surgery: A Case Series

Abstract

BackgroundOvarian cysts are very common diseases of the female reproductive system. Giant ovarian cysts refer to the tumors with diameters greater than 10 cm. In recent years, due to the development of clinical diagnosis, imaging modalities, and the improvement of patients’ cognition of the diseases, the occurrence of giant ovarian cysts has become rare. The purpose of this study was to show a new operation method of single-port laparoscopy to treat giant ovarian cysts.MethodsWe report a case series of five patients with giant ovarian cysts who underwent single-port laparoscopic surgery in the gynecology department of the Shengjing Hospital of China Medical University between June 2020 and March 2021. The inclusion criteria were ovarian cysts at least 20 cm in diameter, and cases when the tumor might be malignant were excluded.ResultsThe patients’ mean age was 26.2years. The most common clinical presentation was progressive abdominal distension. Median size of the cysts at imaging was 39.2 cm (range 21–63 cm). All patients underwent single-port laparoscopic surgery, and none of them converted to laparotomy. On final pathological reports, two cysts were serous cystadenomas, and three were mucinous cystadenomas. All patients recovered well and were discharged on time.ConclusionGiant ovarian cysts can be treated by single-port laparoscopic surgery. In addition to the well-known advantages of laparoscopic surgery (e.g., small pelvic interference, fast postoperative recovery), it can also play the role of perfect cosmetic results, which has more advantages for young women.

Cistoadenoma mucinoso gigante de ovario

“…Sin embargo, algunos quistes ováricos gigantes ocupan casi toda la cavidad abdominal hasta la apófisis xifoides. La incisión abdominal, que alcanzaba decenas de centímetros de largo, causaba grandes problemas a las pacientes, especialmente a las más jóvenes (14).…”

“…Evitar la fuga del líquido del quiste se ha convertido en un desafío. La resección asistida por laparoscopia de estos quistes gigantes se ha desarrollado considerablemente (14).…”

Giant lipoma in the Retzius space resected under laparoscopy: A case report

“…In addition, laparoscopic surgery can aid in evaluating the association between the tumor and surrounding organs intraoperatively and can be used to identify the blood vessels of the tumor (13). However, only a few cases of large intra-abdominal tumors treated with laparoscopic resection have been reported and clinical experience with the distribution of the trocar, the position of the operator and the manner in which the procedure is performed remains insufficient (14)(15)(16)(17). In 2009, Shiroshita et al (13) performed laparoscopic resection of a giant lipoma in the omentum of a 71-year-old male.…”