Laparoscopically assisted vaginal ovarian cystectomy for clinically diagnosed benign large ovarian masses.
OBJECTIVE
The aim of this study was to present our experience with laparoscopically assisted vaginal ovarian cystectomy (LAVOC) in selected patients with various large ovarian masses.


METHODS
Among the medical records of 324 patients with ovarian masses, 10 consecutive women of reproductive age with prior sexual activity and with large ovarian masses (10-27 cm) were evaluated. A combined laparoscopic and vaginal ovarian cystectomy was done through the posterior cul-de-sac.


RESULTS
All operations proceeded smoothly; the ovarian pathologies included 1 mucinous cystadenoma, 1 serous cystadenoma, 1 mucinous cystadenoma coexisting with mature cystic teratoma, and 7 mature cystic teratomas. The median (range) tumor size was 15.5 cm (range, 10-27), operative duration was 62 minutes (range, 31-110), the estimated blood loss 50 mL (range, 10-150), and the hospital stay was 2 days (range, 1-4). No open conversion and blood transfusion was required, and no patient had major perioperative complications. One patient suffered from postoperative low-grade fever (<38.5 degrees C) controlled by 3-day parenteral antibiotic therapy.


CONCLUSIONS
LAVOC is safe and feasible and can be an alternative to traditional laparotomy and the pure laparoscopic approach in selected patients. The potential risk of postoperative infection has to be kept in mind.
Wang
Chin-Jung
CJ
Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Tao-Yuan, Taiwan. wang2260@cgmh.org.tw
Chao
Angel
A
Lai
Chyong-Huey
CH
Huang
Shang-Yu
SY
Lee
Chyi-Long
CL
Soong
Yung-Kuei
YK
D000293:Adolescent; D000328:Adult; D003537:Cystadenoma / Q000601:surgery*; D018291:Cystadenoma, Mucinous / Q000601:surgery; D018293:Cystadenoma, Serous / Q000601:surgery; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D010535:Laparoscopy; D010051:Ovarian Neoplasms / Q000601:surgery*; D055815:Young Adult