Salpingo-oophorectomy for adnexal masses. Place and results for operative laparoscopy.
OBJECTIVE
The aim of the study is to specify the place, modalities and results of operative laparoscopy when adnexectomy is indicated in a patient presenting with an adnexal mass.


METHODS
A retrospective analysis of the 186 patients who underwent adnexectomy for an adnexal mass between January 1, 1989 and December 31, 1994.


RESULTS
The operation took place via laparotomy in 34.9% of cases (65 patients) and by laparoscopic surgery in 65.1% of cases (121 patients). All the patients presenting a malignant ovarian lesion (15 cases) were operated by laparotomy. For these patients the laparotomy was decided from the outset in 7 cases and there was a conversion to laparotomy decided during the diagnostic phase of laparoscopy in 8 cases. The preoperative workup (clinical examination, study of past history, trans vaginal ultrasonography, doppler, tumoral markers etc.) together with the diagnostic phase of laparoscopy provide 100% sensitivity, a positive predictive value of 50% and a negative predictive value of 100% for diagnosis of malignancy.


CONCLUSIONS
These results demonstrate that provided a strict selection system is used, it is possible to carry out adnexectomy using laparoscopic surgery in 70.8% of cases (121/171) for patients with benign adnexal mass.
Chapron
C
C
Service de chirurgie Gyncologique, Clinique Universitaire Baudelocque, C.H.U. Cochin Port-Royal, Paris, France.
Dubuisson
J B
JB
Capella-Allouc
S
S
D000290:Adnexa Uteri / Q000601:surgery; D000291:Adnexal Diseases / Q000601:surgery*; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005187:Fallopian Tubes / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy; D007813:Laparotomy; D008875:Middle Aged; D010052:Ovariectomy / Q000379:methods*; D011237:Predictive Value of Tests; D012189:Retrospective Studies