Complications of laparoscopic surgery for benign ovarian cysts.
OBJECTIVE
To assess complications of laparoscopic surgery in the management of ovarian cysts.


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


METHODS
University-affiliated hospital.


METHODS
Consecutive patients (513) undergoing laparoscopic surgery for ovarian cysts not suspected to be malignant.


METHODS
Laparoscopic surgery.


RESULTS
A total of 587 ovarian cysts were removed from 513 women. Conversion to laparotomy was necessary in five cases (<1%). Mean +/- SD cyst diameter was 5.5+/-2.9 cm, with endometriomas (44. 5%) and dermoids (24.3%) being the two most common pathologies; 6.6% were functional. Mean +/- SD operating time was 69+/-31 minutes, and hospital stay and postoperative convalescence was 2.6+/-1.5 and 14.3 +/-9.6 days, respectively. The overall complication rate was 13.3%. Major complications occurred in three patients (0.6%): one small bowel injury and two ureter injuries. Cannula site complications were five inferior epigastric vessel injuries and four incisional hernias at the 10-mm lateral port site.


CONCLUSIONS
Laparoscopic ovarian surgery was associated with 13.3% complications, with 0.6% being major. Careful patient selection and proper surgical training are critical to ensure safe performance of laparoscopy.
Lok
I H
IH
Department of Obstetrics and Gynaecology, Prince of Wales Hospital, Shatin, NT., Hong Kong SAR, China.
Sahota
D S
DS
Rogers
M S
MS
Yuen
P M
PM
D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006723:Hong Kong / Q000453:epidemiology; D006801:Humans; D015994:Incidence; D007431:Intraoperative Complications / Q000175:diagnosis / Q000453:epidemiology*; D010535:Laparoscopy / Q000009:adverse effects* / Q000379:methods; D008875:Middle Aged; D010048:Ovarian Cysts / Q000473:pathology* / Q000601:surgery*; D011183:Postoperative Complications / Q000175:diagnosis / Q000453:epidemiology*; D011446:Prospective Studies; D012307:Risk Factors