Laparoscopic resection of ovarian benign cystic teratomas: experience with 84 cases

Shalev, Eliezer; Bustan, Moshe; Romano, Shabtai; Goldberg, Yael; Ben‐Shlomo, Izhar

doi:10.1093/humrep/13.7.1810

Cited by 52 publications

(39 citation statements)

References 16 publications

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“…Surgical options to treat teratomas are individualized by the possibility of chemical peritonitis and malignancy (3). The existence of giant mature ovarian teratomas, as suggested by the preoperative examination and operative inspection, advises the excision of the tumor.…”

Section: Discussionmentioning

confidence: 99%

“…Teratomas most commonly arise in the gonads but have also been found in the anterior mediastinum, retroperitoneum and gastrointestinal tract (1). Several studies have reported that laparoscopic approaches are generally accepted in normal cases for their minimal invasiveness, fewer complications and quicker recovery (2)(3)(4). The evident cosmetic advantage of this technique for young women is also noted.…”

Section: Introductionmentioning

confidence: 99%

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Management of giant ovarian teratoma: A case series and review of the literature

Wang

Liu

et al. 2012

Oncology Letters

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Abstract. The management of ovarian teratomas in normal conditions is well established, but in rare giant cases (tumor diameter over 15 cm), the choice of management, such as laparotomic or laparoscopic approaches, are controversial and may be therapeutically challenging for surgeons. The aims of the current study were to analyze the clinical features of giant ovarian teratoma and to discuss its management. The clinical data of 330 patients with giant ovarian teratoma (of whom 1 patient was treated by the authors and 329 were admitted to the Second Affiliated Hospital of Zhejiang University Medical College between January 1st 2000 and December 31st 2010) were reviewed and analyzed. The patients had an age range of 6 to 83 years and a mean tumor size of 24.9±7.1 cm. Of the 330 patients, 102 (30.9%) were asymptomatic and the majority (69.1%, 228/330) reported symptoms. There were more patients in the laparotomic group than the laparoscopic group, especially for the emergency cases (5.5 vs. 0%, P<0.05). Accidental cyst rupture was more frequent when a laparoscopic approach was used (31.5 vs. 19.6%, P<0.05). These results suggest that laparotomic resection may be preferred for the en bloc mass removal, adequate abdominal cavity irrigation and avoidance of accidental mass rupture in the management of giant ovarian teratomas. Familiarity with the imaging features of giant ovarian teratomas effectively aids preoperative diagnosis and differentiation.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Management of giant ovarian teratoma: A case series and review of the literature

Wang

Liu

et al. 2012

Oncology Letters

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“…Teratomas generally arise from the gonads but have also been found in anterior mediastinum, retroperitoneum and gastrointestinal tract [2][3][4][5] . They typically occur at reproductive age in second to third decade of life, however it can occur in any age from one to 90 years 6,7 .…”

Section: Introductionmentioning

confidence: 99%

Management of giant ovarian teratoma

Pradhan

Sherpa

Joshi

et al. 2014

J. Kathmandu Med. Coll.

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Sabita Pathak, third year Resident,5 Meeta Thapa, second year Resident,6 Basanta Sharma, fi rst year Resident, Department of Obstetrics and Gynaecology, Nepal Medical College Teaching Hospital, Kathmandu, Nepal AbstractThe management of ovarian teratoma in normal condition is well established but in rare giant tumour (diameter over 15 cm) management approaches such as laparoscopy or laparotomy are controversial and may be therapeutically challenging for surgeons. Laparotomic resection is the preferred method for the en-block mass removal, adequate abdominal cavity irrigation, and avoidance of accidental mass rupture during management of giant ovarian teratoma.Here we discuss a case of a 43 year old multiparous lady suffering from a huge ovarian tumour of size 40 cm, admitted in Nepal Medical College Teaching Hospital on 15th May 2013. This patient underwent laparotomy on 21st May 2013 and left sided huge multiloculated ovarian cystic teratoma was removed en-bloc with no complications.

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“…Maligniteye dönüşüm oranı oldukça nadirdir ve en sık malign dönüşüm skuamöz hücreli karsinomdur (2,3).…”

Section: Introductionunclassified

Analysis of Laparoscopic Treatment of Dermoid Cysts in Our Clinic

Salman¹,

Yumru²,

Duman³

et al. 2014

JAREM

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ÖZETAmaç: Bizim bu çalışmadaki amacımız, laparoskopik olarak tedavi edilen matür kistik teratom olgularının retrospektif olarak değerlendirip sunmak ve kist içerği batına dökülen hastalarda ne gibi komplikasyonlar gelişebileceğini irdelemektiYöntemler: Kliniğimizde 2008 ile 2014 yılları arasında laparoskopik olarak tedavi edilen matür kistik teratom olguları retrospektif olarak analiz edildi. Laparoskopi sırasında kistektomi yada ooferektomi yapıldığı ve hangi hastalarda kist rüptürü oluştuğuna bakıldı. Kist rüptürü oluşan hastalarda posoperatif komplikasyon oluşup oluşmadığına bakıldı. Postoperatif komlikasyonların nasıl yönetldiğine bakıldı.Bulgular: Toplam 22 hastanın 15'ine laparoskopik kistektomi yapılırken 7 hastaya laparoskopik ooferektomi uygulandı. Laparoskopik kist eksizyonu yapılan toplam 8 hastanın kist içeriği batına döküldü, bu hastalardan Sadece 1 tanesinde postoperatif komplikasyon gelişti, bu hasta hospitalize edilip medikal olarak tedavi edildi.Sonuç: Laparoskopik yöntem dermoid kist vakalarında tercih edilecek tedavi yöntemidir. Bizim çalışmamızda 15 hastaya laparoskopik kist eksizyonu uygulanırken 7 hastaya laparoskopik ooferektomi uygulandı. Kistektomi uygulanan 8 hastada kist rüptürü oluştu. Kist rüptürü oluşan 1 hastada postoperatif komplikasyon gelişti ve medikal olarak tedavi edildi. Kist içeriği batına dökülecek olursa iyice temizlenmelidir ve batın serum fizyolojik ile yıkanmalıdır. Eksize edilen kistin endobag kullanarak dışarıya çıkarılması kist içeriğinin batın içine dökülmesine engel olabilir. Laparoskopik yöntem matür kistik teratomların tedavisinde seçilecek ilk yöntem olmalıdır. Genç hastalarda overler mümkün olduğunca korunmaya çalışılmalıdır. İnfertilitesini tamamlamış perimenapozal hastalarda ooferektomi yapılabilir. (JAREM 2014; 2: 55-7) Anahtar Sözcükler: Laparoskopi, dermoid kist, kist rüptürü ABSTRACT Objective: Our aims are to present patient data in the laparoscopic management of mature cystic teratomas; 22 cases of mature cystic teratoma were managed laparoscopically, 15 cases of mature cystic teratomas were managed by laparoscopic cystectomy, and 7 patients with mature cystic teratomas were managed by laparoscopic oophorectomy.Methods: Review of cases of women with mature cystic teratoma who underwent laparoscopic surgery in our clinic from 2008 to 2014. The medical records were searched for age, presenting symptoms, investigations, operative reports, postoperative hospital stay, and complications. Surgery was performed using a laparoscopic approach with a 10-mm port placed in the umbilicus through which a 10 mm 0-degree telescope was used. Two 10-mm and 5-mm working ports were used in the right and left iliac fossae. Initially, the whole peritoneal cavity was inspected as a whole to confirm the diagnosis, exclude malignancy, and inspect the contra-lateral ovary. If the ovary was twisted, it was untwisted, and after stabilizing the ovary, a superficial incision was made with diathermy on the anti-mesenteric border. The incision was gently enlarged to separate the c...

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Laparoscopic resection of ovarian benign cystic teratomas: experience with 84 cases

Cited by 52 publications

References 16 publications

Management of giant ovarian teratoma: A case series and review of the literature

Management of giant ovarian teratoma: A case series and review of the literature

Management of giant ovarian teratoma

Analysis of Laparoscopic Treatment of Dermoid Cysts in Our Clinic

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