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Titolo:
Laparoscopic management of 641 adnexal tumors in Kiel, Germany
Autore:
Mettler, L; Jacobs, V; Brandenburg, K; Jonat, W; Semm, K;
Indirizzi:
Univ Kiel, Dept Obstet & Gynaecol, D-24105 Kiel, Germany Univ Kiel Kiel Germany D-24105 Obstet & Gynaecol, D-24105 Kiel, Germany
Titolo Testata:
JOURNAL OF THE AMERICAN ASSOCIATION OF GYNECOLOGIC LAPAROSCOPISTS
fascicolo: 1, volume: 8, anno: 2001,
pagine: 74 - 82
SICI:
1074-3804(200102)8:1<74:LMO6AT>2.0.ZU;2-R
Fonte:
ISI
Lingua:
ENG
Soggetto:
MALIGNANT OVARIAN-TUMORS; COLOR DOPPLER ULTRASOUND; TRANSVAGINAL ULTRASOUND; DERMOID CYSTS; SERUM CA-125; CANCER; ENDOMETRIOSIS; MASSES; EXCISION; WOMEN;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
39
Recensione:
Indirizzi per estratti:
Indirizzo: Mettler, L Univ Kiel, Dept Obstet & Gynaecol, Michaelisstr 16, D-24105 Kiel, Germany Univ Kiel Michaelisstr 16 Kiel Germany D-24105 5 Kiel, Germany
Citazione:
L. Mettler et al., "Laparoscopic management of 641 adnexal tumors in Kiel, Germany", J AM AS G L, 8(1), 2001, pp. 74-82

Abstract

Study Objective. To evaluate the effectiveness and safety of laparoscopic and laparotomic management of ovarian tumors. Design. Retrospective analysis (Canadian Task Force classification II-2). Setting. University-affiliate hospital. Patients. Six hundred forty-one women with benign and malignant ovarian tumors. Interventions. Laparoscopy and laparotomy. Measurements and Main Results. Between January 1997 and December 1998, 493(76.9%) ovarian tumors were treated laparoscopically and 138 (21.5%) by laparotomy. Criteria for laparotomy were high suspicion of malignancy and tumors larger than 10 cm that were technically too difficult for the laparoscopic approach. The mean size of tumors treated laparoscopically was 4.5 cm (range 1.1-11 cm) and by laparotomy 8.2 cm (range 3-20 cm). Mean operating times were 75.7 minutes (range 30-200 min) and 126 minutes (range 30-235 min), respectively, and mean blood loss was 193 ml (range 50-1200 ml) and 431 ml (range 50-2500 ml), respectively. Twelve laparoscopies were converted tolaparotomy, six because of technical reasons such as severe adhesions, bleeding, or tumor size, and six for intraoperative suspicion of malignancy. Of the latter, four (66.7%) turned out to be ovarian carcinoma and two (33.3%) borderline tumors. Histologic evaluation clearly revealed predominance of functional ovarian cysts, endometriomas, and dermoid cysts in the group treated by laparoscopy, whereas ovarian carcinomas, large endometriomas, andserous cysts prevailed in the laparotomy group. Conclusion. With careful preoperative screening, the rate of laparoscopiesfor treatment of benign ovarian cysts can be increased.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 03/07/20 alle ore 01:11:54