[Laparoscopic treatment of ovarian cysts. Indications, techniques, results. Apropos of 650 cases].
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).
Bruhat
M A
MA
Polyclinique Gynécologique-Obstétrique-Médecine de la reproduction, C.H.R.U. Clermont-Ferrand.
Mage
G
G
Bagory
G
G
Canis
M
M
Pouly
J L
JL
Wattiez
A
A
Chapron
C
C
Laberge
P
P
D001707:Biopsy, Needle; D005260:Female; D006801:Humans; D010535:Laparoscopy; D010048:Ovarian Cysts / Q000473:pathology / Q000601:surgery*; D010052:Ovariectomy / Q000379:methods; D011183:Postoperative Complications
Le traitement coelioscopique des kystes ovariens. Indications, techniques, résultats. A propos de 650 cas.