title: [Laparoscopic treatment of ovarian cysts. Indications, techniques, results. Apropos of 650 cases].
abstract: Laparoscopic management of annexes is now accepted as alternative to classical management by laparotomy. However, a careful pre-operative evaluation, including clinical and ultrasonographic examination is of ut most importance in order to exclude malignant lesion which should be treated by laparotomy. The laparoscopic treatment includes several procedures: intra-peritoneal cystectomy, extra-abdominal cystectomy, oaphorectomy and adnexectomy. These procedures and used according to the laparoscopic diagnosis. About 652 cases managed by laparoscopy, we can concluded: laparoscopic diagnosis of benign lesion is reliable (positive predictive value 100%); most of benign ovarian cysts can be treated by laparoscopy, from 89 to 97% of the benign adnexal cysts; complications are uncommon (8 cases out of 616 patients); the recurrence risk appears to be low (only 2.7% in patients treated for a non endometriotic adnexal cysts).
authors.affiliation: Polyclinique Gynécologique-Obstétrique-Médecine de la reproduction, C.H.R.U. Clermont-Ferrand.
authors.forename: M A
authors.initials: MA
authors.lastname: Bruhat
authors.forename: G
authors.initials: G
authors.lastname: Mage
authors.forename: G
authors.initials: G
authors.lastname: Bagory
authors.forename: M
authors.initials: M
authors.lastname: Canis
authors.forename: J L
authors.initials: JL
authors.lastname: Pouly
authors.forename: A
authors.initials: A
authors.lastname: Wattiez
authors.forename: C
authors.initials: C
authors.lastname: Chapron
authors.forename: P
authors.initials: P
authors.lastname: Laberge
mesh_terms: D001707:Biopsy, Needle; D005260:Female; D006801:Humans; D010535:Laparoscopy; D010048:Ovarian Cysts / Q000473:pathology / Q000601:surgery*; D010052:Ovariectomy / Q000379:methods; D011183:Postoperative Complications
vernacular_title: Le traitement coelioscopique des kystes ovariens. Indications, techniques, résultats. A propos de 650 cas.