title: [Hybrid surgery for the treatment of ovarial cysts in newborns].
abstract: The aim of this study was to evaluate the effect of hybrid technology (laparoscopy and open surgery) for treatment of ovarian cysts in small babies and infants. Between January 2002 and November 2012, we have performed 11 operation for neonatal ovarian cysts repaired through standard circumumbilical incision (Group I) and 16 operation with using combined hybrid laparoscopic-assisted technique (Group II). The circumumbilical incision utilized at our institution is a classic Bianchi procedure. The hybrid approach combined 2 technique - laparoscopic and open. The trocar for optic telescope was inserted through a circumumbilical incision. The one working instrument was introduced into the peritoneal cavity direct through umbilicus. Afterwords, ovarian cyst was deflated with using transabdominal needle aspiration, delivered by an extended umbilical incision and enucleated as in standard open surgery. The two groups were compared for patients demographics, operative report and early postoperative outcomes. All procedures were performed successfully with no complications rate. There were no differences in the preoperative parameters between the two groups. The differences between groups for operative and postoperative results were statistically significant (p<0.05). The mean operative time in Group I was 30.91 min. In contrast, the mean duration of the operation in the Group II was 21.56 min. The mean time to beginning and time of full enteral feeding for patients with hybrid approach were significantly shorter as for patients with umbilical incision (4.06 hours vs 10.91 hours; 13 hours vs 20.55 hours). Prolonged mean postoperative hospital stay were registered in patients of the Group I (6.36 days vs 3.19 days; p<0.05). The postoperative course and follow up was uneventful in the all patients. The experience described in this study confirms that hybrid operation can be applied for treatment of neonatal ovarian cysts with outcomes better than standard open surgery.
authors.forename: Iu A
authors.initials: IuA
authors.lastname: Kozlov
authors.forename: V A
authors.initials: VA
authors.lastname: Novozhilov
authors.forename: A A
authors.initials: AA
authors.lastname: Rasputin
authors.forename: N V
authors.initials: NV
authors.lastname: Syrkin
authors.forename: A V
authors.initials: AV
authors.lastname: Podkamenev
authors.forename: P S
authors.initials: PS
authors.lastname: Iurkov
authors.forename: A A
authors.initials: AA
authors.lastname: Solov'ev
authors.forename: O V
authors.initials: OV
authors.lastname: Radikevich
mesh_terms: D004322:Drainage / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D010535:Laparoscopy / Q000379:methods*; D061646:Operative Time; D010048:Ovarian Cysts / Q000601:surgery*; D012189:Retrospective Studies; D016896:Treatment Outcome