Kahraman ÜLKER, Abdülaziz GÜL, İsmail TEMUR, İslim VOLKAN, Mehmet KARACA

Laparoscopy-assisted mini-laparotomy: management of a giant (32 cm) ovarian cyst

Over kistleri 5 cm’i aştıklarında büyük, 15 cm’i aştıklarında dev olarak adlandırılırlar. 5 cm’den büyük over kistleri 6-8 hafta içinde gerilemezse cerrahi tedavi gerekir. Büyük ve dev over kistlerinin yönetiminde yayınlanmış laparoskopik ya da laparoskopi asiste yöntemler olsa da, özellikle dev kistlerde laparotomi pek çok cerrah tarafından tercih edilir. Bu yazıda 32 cm’lik dev bir over kistinin laparoskopi asiste mini-laparotomi ile sağaltımını sunuyoruz

Laparoskopi asiste mini-laparotomi: dev bir over kistinin (32 cm) yönetimi

Ovarian cysts over 5 and 15 cm are described as large and giant, respectively. Ovarian cysts over 5 cm without regression in 6-8 weeks are indicated for surgery. Although there are published data about the laparoscopic or laparoscopy assisted management of the large and giant cysts, especially in cases of giant cysts midline laparotomy is preferred by many surgeons. In this paper, we present the management of a 32 cm mucinous ovarian cyst by laparoscopy-assisted mini-laparotomy.

PDF

___

1. Eltabbakh GH. Laparoscopic management of ovarian cysts. Contemporary Ob/Gyn 2003;48:37-50.
2. DiSaia PJ, Creasman WT. The adnexal mass and early ovarian cancer. In: DiSaia PJ, Creasman WT, eds. Clinical Gynecologic Oncology. St. Louis, Missouri: Mosby Press; 1997:253-79.
3. Dolan MS, Boulanger SC, Salameh JR. Laparoscopic management of giant ovarian cyst. JSLS 2006;10(2):254-6.
4. Kazem Moslemi M, Yazdani Z. A huge ovarian cyst in a middle-aged Iranian female. Case Rep Oncol 2010;3(2):165-70.
5. Sujatha VV, Babu SC. Giant ovarian serous cystadenoma in a postmenopausal woman: a case report. Cases J 2009;2:7875.
6. Mulayim B, Gurakan H, Dagli V, Mulayim S, Aydin O, Akkaya H. Unaware of a giant serous cyst adenoma: a case report. Arch Gynecol Obstet 2006;273(6):381-3.
7. Leng JH, Lang JH, Zhang JJ, Feng FZ, Liu ZF, Sun DW et al. Role of laparoscopy in the diagnosis and treatment of adnexal masses. Chin Med J 2006;119(3):202-6.
8. Kornblith AB, Huang HQ, Walker JL, Spirtos NM, Rotmensch J, Cella D. Quality of life of patients with endometrial cancer undergoing laparoscopic international federation of gynecology and obstetrics staging compared with laparotomy: a Gynecologic Oncology Group study. J Clin Oncol 2009;27(32):5337-42.
9. Mecke H, Savvas V. Laparoscopic surgery of dermoid cystsintraoperative spillage and complications. Eur J Obstet Gynecol Reprod Biol 2001;96(1):80-4.
10. Ma KK, Tsui PZY, Wong WC, Kun KY, Lo LSF, Ng TK. Laparoscopic management of large ovarian cysts: more than cosmetic considerations. Hong Kong Med J 2004;10(2):139-41.
11. Ceyhan T, Atay V, Gungor S, Karateke A, Oral O, Baser I. Efficacy of laparoscopically-assisted extracorporeal cystectomy in patients with ovarian endometrioma. J Minim Invasive Gynecol 2006;13(2):145-9.
12. Vecchio R, Leanza V, Genovese F, Accardi M, Gelardi V, Intagliata E. Conservative laparoscopic treatment of a benign giant ovarian cyst in a young woman. J Laparoendosc Adv Surg Tech A 2009;19(5):647-8.
13. Gocmen A, Atak T, Ucar M, Sanlikal F. Laparoscopy-assisted cystectomy for large adnexal cysts. Arch Gynecol Obstet 2009;279(1):17-22.
14. Coccia ME, Rizzello F, Bracco GL, Scarselli G. Seven-liter ovarian cyst in an adolescent treated by minimal access surgery: laparoscopy and open cystectomy J Pediatr Surg 2009;44(6):E5-8.
15. Ateş O, Karakaya E, Hakgüder G, Olguner M, Seçil M, Akgür FM. Laparoscopic excision of a giant ovarian cyst after ultrasound-guided drainage. J Pediatr Surg 2006;41(10):E9-11.
16. Cuschieri A. Single-incision laparoscopic surgery. J Minim Access Surg 2011;7(1):3-5.
17. Pelosi MA II, Pelosi MA III. A novel minilaparotomy approach for large ovarian cysts. OBG Management 2004;16(2):17-30.