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Titolo:
Alternate methods for laparoscopic management of adnexal masses greater than 10 cm in diameter
Autore:
Ou, CS; Liu, YH; Zabriskie, V; Rowbotham, R;
Indirizzi:
Univ Washington, Sch Med, Seattle, WA USA Univ Washington Seattle WA USAUniv Washington, Sch Med, Seattle, WA USA Yuans Mem Hosp, Kaohsiung, Taiwan Yuans Mem Hosp Kaohsiung TaiwanYuans Mem Hosp, Kaohsiung, Taiwan Evergreen Hosp, Kirkland, WA USA Evergreen Hosp Kirkland WA USAEvergreen Hosp, Kirkland, WA USA NW Hosp, Dept Res & Dev, Seattle, WA USA NW Hosp Seattle WA USANW Hosp, Dept Res & Dev, Seattle, WA USA
Titolo Testata:
JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES-PART A
fascicolo: 3, volume: 11, anno: 2001,
pagine: 125 - 132
SICI:
1092-6429(200106)11:3<125:AMFLMO>2.0.ZU;2-I
Fonte:
ISI
Lingua:
ENG
Soggetto:
OPERATIVE LAPAROSCOPY; OVARIAN MASSES; LAPAROTOMY; EXCISION;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
15
Recensione:
Indirizzi per estratti:
Indirizzo: Ou, CS 10330 Meridian N 372, Seattle, WA 98133 USA 10330 Meridian N 372 Seattle WA USA 98133 2, Seattle, WA 98133 USA
Citazione:
C.S. Ou et al., "Alternate methods for laparoscopic management of adnexal masses greater than 10 cm in diameter", J LAP ADV A, 11(3), 2001, pp. 125-132

Abstract

Purpose: We describe alternate laparoscopic methods for inspection and removal of large adnexal masses, and report our experience with 18 cases in which these methods were used. Patients and Methods: Between April 1994 and January 2000, the first author performed operative laparoscopy on 18 patients, each of whom had at leastone adnexal mass with maximum diameter greater than 10 cm. Mean patient age was 32 years (range 11 to 82). Seventeen of the 18 patients were premenopausal. All procedures were performed at one of two community hospitals in Seattle or at Yuan's General Hospital in Taiwan. Preoperative screening included pelvic exam, tumor markers, and ultrasound. Results: One 82-year-old patient underwent planned laparoscopic bilateral oopherectomy. In the other 17 cases the operative goal was cystectomy or unilateral oopherectomy with conservation of reproductive function. Cystectomy was successfully performed in five of these cases (29.4%). The remaining 12 patients underwent either unilateral oopherectomy (10 cases, 58.8%), or unilateral salpingo oopherectomy (2 cases, 8.8%) due to the extent of theirmass. Sixteen of the 18 cases in this series were successfully managed by a single laparoscopic surgery, one ease required a second-look laparoscopy,and in one case a malignancy was found by histological analysis of permanent section, which required a second laparoscopy for staging and debulking. Conclusions: Large adnexal masses can be successfully managed with minimalhospital stay using laparoscopic techniques, when care is taken to avoid rupture and spillage of cyst contents, and thorough inspection of the mass and abdominal cavity is made possible. The probability of finding an unexpected malignancy is low. In those cases where a malignancy is found, appropriate cytoreductive staging surgery can be performed immediately.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 10/04/20 alle ore 02:36:11