title: Laparoscopic cystectomy for the treatment of benign ovarian cysts in children: an analysis of 21 cases.
abstract: OBJECTIVE
  To evaluate the outcomes of treatment with minimal invasive surgery in children with benign ovarian cysts.
  
  
  METHODS
  Retrospective chart review.
  
  
  METHODS
  Maternity and children hospital.
  
  
  METHODS
  Between May 2007 and May 2011, 21 children were treated by laparoscopic method for ovarian cysts at our clinic. The age, symptoms, ultrasonographic findings, operation records and follow-up times were retrospectively evaluated.
  
  
  RESULTS
  The mean age was 13.2 years. One patient presented with findings of torsion and another presented with findings of rupture; both were urgently operated on. The other patients presented with intermittent abdominal pain and were operated on under elective basis. The mean cyst size was 8.4 cm (5-13 cm). One patient with necrotic ovary and salpinx due to torsion underwent salpingo-oophorectomy while the others were administered ovary-preserving cystectomy. Only 4 patients required iv paracetamol as an analgesic in the postoperative period. Two patients were discharged on the second postoperative day while the remaining 19 patients were discharged on the first postoperative day. During a mean follow-up of 14 months, no recurrence was seen in this period. Cosmetic appearance was good in all patients.
  
  
  CONCLUSIONS
  The authors demonstrated that laparoscopic cystectomy was a technically feasible and safe method in the treatment of benign ovarian cysts, associated with short hospitalization, minimal analgesic requirement, and a good cosmetic appearance.
authors.affiliation: Department of Pediatric Surgery, Dr. Faruk Sükan Maternity and Children's Hospital, Konya, Turkey. ibrahimakkoyun@yahoo.com
authors.forename: Ibrahim
authors.initials: I
authors.lastname: Akkoyun
authors.forename: Saliha
authors.initials: S
authors.lastname: Gülen
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D010535:Laparoscopy; D007902:Length of Stay; D010048:Ovarian Cysts / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D012189:Retrospective Studies; D016896:Treatment Outcome; D014463:Ultrasonography