Laparoscopic management of selected adnexal masses.
OBJECTIVE
To investigate the significance, safety, and intraoperative and immediate postoperative outcomes of laparoscopic management of adnexal masses thought to be at low risk for malignancy.


METHODS
Prospective cohort study (Canadian Task Force classification II-2).


METHODS
Tertiary-care teaching hospital.


METHODS
Two hundred twenty women undergoing laparoscopic surgery for adnexal masses.


METHODS
Laparoscopic treatment including cystectomy, oophorectomy, adnexectomy, and peritoneal cytology, and, if necessary, frozen sections. A histologic diagnosis was obtained in every patient.


RESULTS
Only one ovarian cancer and one borderline ovarian tumor were diagnosed by histologic examination, and both were managed by laparotomy. The remaining 218 patients had laparoscopy for benign adnexal masses.


CONCLUSIONS
Operative laparoscopy with the finding of incidental ovarian malignancy is rare, as shown by pathologic examination. With appropriate preoperative evaluation, laparoscopic surgery is technically feasible, safe, and advantageous, with minimal morbidity, and should replace laparotomy in the management of most adnexal masses. (J Am Assoc Gynecol Laparosc 6(3):313-316, 1999)
Sadik
S
S
Department of Obstetrics and Gynecology, SKK Ege Maternity Hospital, Izmir, Turkey.
Onoglu
A S
AS
Gokdeniz
R
R
Turan
E
E
Taskin
O
O
Wheeler
J M
JM
D000291:Adnexal Diseases / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery*; D000293:Adolescent; D000328:Adult; D000368:Aged; D015331:Cohort Studies; D003937:Diagnosis, Differential; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D007902:Length of Stay; D008875:Middle Aged; D010048:Ovarian Cysts / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D010051:Ovarian Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D011446:Prospective Studies; D012680:Sensitivity and Specificity; D016896:Treatment Outcome; D014463:Ultrasonography