Review of laparoscopic management of mature cystic teratoma of ovaries in children

Raičević, Maja; Saxena, Amulya K.

doi:10.4103/jiaps.jiaps_246_17

Cited by 7 publications

(3 citation statements)

References 20 publications

(33 reference statements)

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“…In gynecological treatment, laparoscopic ovarian cystectomy is one of the most widely used procedures[18]. Laparoscopic ovarian cystectomy is a toilless procedure for separation of the tumor, and surgeons have sufficient understanding of the anatomy.…”

Section: Discussionmentioning

confidence: 99%

Robotic-assisted resection of ovarian tumors in children: A case report

Xie¹,

Wang²,

Wang³

et al. 2019

WJCC

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BACKGROUNDOvarian tumors are common gynecological diseases in children, and the most commonly seen ovarian tumors are germ cell tumors. Robotic surgery is the new access for children ovarian tumors.CASE SUMMARYFrom June to October 2017, 4 children with ovarian tumors were admitted and treated in the Department of Pediatric Surgery of People’s Liberation Army General Hospital. The mean age, height, and weight of these patients were 7.5 (1-13) years old, 123.75 (71-164) cm, and 36.8 (8.5-69.5) kg, respectively. Robotic-assisted resection of ovarian tumors was performed for all 4 patients. The 3-port approach was used for robotic manipulation. The surgical procedures were as follows. After creation of the pneumoperitoneum, the robotic scope was placed to explore and find the left ovarian tumor. The trocars for robotic arms 1 and 2 were placed at the sites to the lower right and left of the port of the scope. The tumor capsule in the fallopian tube was incised, and the tumor was completely stripped by an electric hook along the junction of the tumor and the capsule. The resected tumor was completely removed using an endobag. The average docking time of the robotic system was 18.5 min, the average operative time was 120 min, and the average blood loss was 20 mL. No drainage tube was placed except in one patient with a mucinous tumor of the ovary. No fever, pelvic fluid, or intestinal obstruction was reported after surgery. No antibiotics were used during the perioperative period, and the average length of hospital stay after surgery was 3 d.CONCLUSIONRobotic-assisted resection of ovarian tumors is a simple, safe, and effective surgical procedure for selected patients.

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Section: Discussionmentioning

confidence: 99%

Robotic-assisted resection of ovarian tumors in children: A case report

Xie¹,

Wang²,

Wang³

et al. 2019

WJCC

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“…This often leads to delayed diagnosis and longer time from the first symptoms to surgery [28]. Therefore, it seems justified to use laparoscopy as a tool verifying the actual condition, providing unambiguous diagnosis and allowing the majority of procedures to be performed on the ovaries, such as derotation with or without oophoropexy, resection of a tumor or ovarian cyst, and additional procedures such as appendectomy [29].…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the usefulness of laparoscopy in the diagnosis and treatment of adnexal pathologies in the pediatric population.

Raźnikiewicz¹,

Korlacki²,

Grabowski³

2020

Videosurgery and Other Miniinvasive Techniques

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Introduction:The current trend in adnexal surgery in children is to minimize the invasiveness of diagnostic and therapeutic procedures, reduce the number of complications and reduce the risk of infertility. Aim: Evaluation of the usefulness and effectiveness of laparoscopy in diagnostics and treatment of pathological lesions of adnexa in the pediatric population and evaluation of the correlation of imaging with the intraoperative diagnosis during laparoscopy. Material and methods: The study included 89 patients aged 0-18 years (mean: 12.62) who underwent an emergency or elective laparoscopic procedure due to the suspicion of adnexa pathology in the imaging tests or in which intraoperative pathology of the adnexa was found without previous suspicion of these changes in the imaging tests. Patients were divided into 2 groups according to the procedure (emergency or elective) and into 4 age groups. Results: The most frequent postoperative diagnosis was an adnexal cyst and ovarian tumor. The ratio of malignant to benign lesions was 0.087. In 32.58% of patients appendix pathology was found. Coexistence of adnexa and appendix pathology was statistically significantly more frequent in patients undergoing emergency surgery (p = 0.013). There was no correlation between the size of the tumor or ovarian cyst and the occurrence of adnexal torsion, and no correlation between the size of the tumor and the degree of torsion of the adnexa. Three conversions were performed. The average operation time was 63.7 min. Conclusions: Laparoscopic diagnosis and treatment of adnexal pathology seems to be safe due to the low percentage of perioperative complications. It shows high sensitivity in recognizing adnexal pathologies and other defects.

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“…Majority of the surgeons agree on trying ovarian conservative surgery as much as possible for ovarian masses in paediatric patients [20]. Minimally invasive surgical techniques have become a surgical standard for removal of non neoplatic masses in the last decade; and many surgeons prefer laparoscopy due to shorter recovery period, decreased pain and cosmetic concerns [21,22].…”

Section: Discussionmentioning

confidence: 99%

How should the management of ovarian masses in children?

et al. 2020

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Prevalence of ovarian masses in children increase due to easy access to imaging techniques. There are conflicting views about evaluation and classification of ovarian masses for neoplasia in such age group in the literature.Material and methods: The patients who were monitored and treated because of ovarian mass in pediatric surgery and obstetrics and gynaecology clinics were reviewed retrospectively. Demographic data, symptoms, dimensions and lateralization of the mass, serum tumour markers, histopathological evaluation results, and treatment outcomes of the patients enrolled in were recorded. Ovarian masses of the participants were divided into two groups as non-neoplastic group (NNG) and neoplastic group (NG) depending on imaging techniques, serum tumour markers and histopathological analysis results. Results were statistically reviewed.Results: There was not any statistical difference between NG and NNG for age, body mass index, mass diameter, initial symptoms, and mass lateralization (p>0.05). Review of ovarian masses reported by imaging techniques revealed that pure cystic appearance was statistically significant for NNG (p=0.012). Duration of the surgery and hospitalization were detected shorter in NNG treated laparoscopically (p=0.023).Conclusion: Surgical treatment of ovarian masses in children should be ovarian protective as much as possible. However, there is not any reliable and proven marker that may differentiate a benign ovarian mass from a malignant ovarian mass in paediatric patients like adult population. A detailed medical history, physical examination, imaging methods, and adequate tumour markers should be used for preoperative evaluation of adnexial masses.

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Review of laparoscopic management of mature cystic teratoma of ovaries in children

Cited by 7 publications

References 20 publications

Robotic-assisted resection of ovarian tumors in children: A case report

Robotic-assisted resection of ovarian tumors in children: A case report

Evaluation of the usefulness of laparoscopy in the diagnosis and treatment of adnexal pathologies in the pediatric population.

How should the management of ovarian masses in children?

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