title: Laparoscopic management of large ovarian tumors: clinical tips for overcoming common concerns.
abstract: OBJECTIVE
  This study was performed to assess the feasibility and efficacy of laparoscopic management for patients with large ovarian tumors.
  
  
  METHODS
  A retrospective analysis was performed of the medical records of 52 women who underwent laparoscopic surgery for large ovarian tumors whose maximum diameter was ≥15cm and a low possibility of malignancy.
  
  
  RESULTS
  The median age of patients was 35years (range 18-84), median body mass index was 22.4kg/m(2) (range 12.4-31.5) and 18 patients had previous operative history. The median tumor diameter was 17cm (range 15-40). There were no conversions to laparotomy and perioperative complications. The median operating time, estimated blood loss, and hospital stay were 80min (range 25-225), 100mL (range 50-500) and 3days (range 2-14), respectively. The operative procedures performed were salpingo-oophorectomy (n=26), ovarian cystectomy (n=16), laparoscopically assisted vaginal hysterectomy with unilateral or bilateral salpingo-oophorectomy (n=9), and laparoscopically assisted staging surgery (n=1). The histopathological results were mucinous cystadenoma (n=25), mature cystic teratoma (n=9), serous cystadenoma (n=6), endometrioma (n=5), mucinous borderline tumor (n=4), follicular cyst (n=2), and clear cell carcinoma (n=1).
  
  
  CONCLUSIONS
  Laparoscopic management of large ovarian tumors is feasible and efficient with appropriate patient selection and experience of surgeons.
authors: Department of Obstetrics and Gynecology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.
authors: Jin Hwa
authors: JH
authors: Hong
authors: Joong Sub
authors: JS
authors: Choi
authors: Jung Hun
authors: JH
authors: Lee
authors: Chang Eop
authors: CE
authors: Son
authors: Seung Wook
authors: SW
authors: Jeon
authors: Jong Woon
authors: JW
authors: Bae
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003537:Cystadenoma / Q000601:surgery*; D004715:Endometriosis / Q000601:surgery*; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008875:Middle Aged; D010051:Ovarian Neoplasms / Q000601:surgery*; D012189:Retrospective Studies; D013724:Teratoma / Q000601:surgery*; D016896:Treatment Outcome