[Laparoscopy for ovarian tumors in children].
BACKGROUND
Laparoscopic techniques play a major role in pediatric surgery. We reported our experience in the laparoscopic management of ovarian tumors.


METHODS
22 patients with ovarian tumor were treated with laparoscopy in our hospital from 1998 to 2005. The following features have been taken into account: surgical techniques in the dissection and extraction of the tumors, time of surgery, hospital stay, complications and time of follow- up.


RESULTS
21 benign teratomas and one osteosarcoma metastasis were observed in this group of 22 patients. The average of age at diagnosis was 9.5 years (range 1.5-17 years) The chief symptom was acute abdominal pain in 47.3% of cases, in 10.5% was chronic pain and in 42.2% of patients was an incidental finding. In 8 girls (36.4%) were performed adnexectomy, in 11 (50%) ooforectomy and in three cases (13.6%) the cyst was enucleated with preservation on the ovary. In one patient a haemorrhage cyst was found and it was treated in the same time and in four patients an inguinal hernia as seen in the laparoscopic surgery and they were repaired subsequently.


CONCLUSIONS
Laparoscopic management of ovarian tumor is safe and effective. It allows the surgeon to dissect the tumor, to determine respectability in ovarian cancer and taking biopsy under direct vision. This approach lets to diagnose other lesions that can be repaired in the same procedure or subsequently.
Barbancho
D Cabezalí
DC
Sección de Cirugía General, Servicio de Cirugía Pediáitrica. Hospital Universitario 12 de Octubre, Madrid. dcabezali@yahoo.es
Novillo
I Cano
IC
Vázquez
A García
AG
Díaz
M López
ML
Sánchez
R Tejedor
RT
Gordo
M Benavent
MB
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D010535:Laparoscopy / Q000379:methods*; D010051:Ovarian Neoplasms / Q000601:surgery*; D013724:Teratoma / Q000601:surgery*