title: Efficacy of laparoscopically-assisted extracorporeal cystectomy in patients with ovarian endometrioma.
abstract: OBJECTIVE
  To investigate the usefulness and effectiveness of the extracorporeal surgical technique in the treatment of endometriomas.
  
  
  METHODS
  Retrospective evaluation (Canadian Task Force Classification II-2).
  
  
  METHODS
  Department of gynecology in a tertiary care faculty hospital and training hospital.
  
  
  METHODS
  Of 89 patients with endometrioma, 53 had laparoscopic stripping, and 36 had laparoscopically-assisted extracorporeal cystectomy.
  
  
  METHODS
  Laparoscopic stripping and laparoscopically-assisted extracorporeal cystectomy were performed for the treatment of endometriomas diagnosed laparoscopically.
  
  
  RESULTS
  The size of the endometrioma diagnosed by the ultrasonographic examination was not statistically related to the severity of the endometriosis (p = .42). Conversion to extracorporeal technique was required in 17 of 58 cases with moderate endometriosis and 14 of 31 cases with severe endometriosis (p = .04). Operation time, visual analogue pain score, and hospitalization periods were similar between the 2 techniques. Among 53 specimens obtained with laparoscopic stripping, 29 (55%) had no ovarian tissue, and 24 (45%) had ovarian tissue with follicles. Of 36 specimens obtained with extracorporeal technique, 19 (52%) had no ovarian tissue, and 17 (48%) had ovarian tissue with follicles. Preservation of the ovarian tissue was not significantly different between both surgical techniques.
  
  
  CONCLUSIONS
  Extracorporeal technique with laparoscopically-assisted minilaparotomy is a valuable alternative for laparoscopic stripping in selected cases.
authors.affiliation: Department of Obstetrics and Gynaecology, Gulhane Military Medical Academy and Medical School, Ankara, Istanbul, Turkey. stceyhan@gata.edu.tr
authors.forename: Temel
authors.initials: T
authors.lastname: Ceyhan
authors.forename: Vedat
authors.initials: V
authors.lastname: Atay
authors.forename: Sadettin
authors.initials: S
authors.lastname: Gungor
authors.forename: Ates
authors.initials: A
authors.lastname: Karateke
authors.forename: Ozay
authors.initials: O
authors.lastname: Oral
authors.forename: Iskender
authors.initials: I
authors.lastname: Baser
mesh_terms: D000328:Adult; D004715:Endometriosis / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007247:Infertility, Female; D020706:Laparoscopes; D010535:Laparoscopy / Q000379:methods*; D007813:Laparotomy / Q000379:methods; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D010048:Ovarian Cysts / Q000175:diagnosis / Q000601:surgery*; D011336:Probability; D012189:Retrospective Studies; D018570:Risk Assessment; D012720:Severity of Illness Index; D018709:Statistics, Nonparametric; D016896:Treatment Outcome