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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Differences in perioperative outcomes after laparoscopic management of benign and malignant adnexal masses
Journal of Gynecologic Oncology, Volume 22, No. 1, Year 2011
Notification
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Description
Objective: To compare the feasibility and safety of the laparoscopic management of adnexal masses appearing preoperatively benign with those suspicious for malignancy. Methods: Retrospective study of 694 women that underwent laparoscopic management of an adnexal mass. Results: Laparoscopic management of an adnexal mass was completed in 678 patients. Six hundred and thirty five patients had benign pathology (91.5%) and 53 (7.6%) had primary ovarian cancers. Sixteen patients (2.3%) were converted to laparotomy; there were 13 intraoperative (1.9%) and 16 postoperative complications (2.3%). Patients divided in 2 groups: benign and borderline/malignant tumors. Patients in the benign group had a higher incidence of ovarian cyst rupture (26% vs. 8.7%, p<0.05). Patients in the borderline/malignant group had a statistically significant higher conversion rate to laparotomy (0.9% vs. 16.9%, p<0.001), postoperative complications (1.9% vs. 12.2%, p<0.05), blood loss, operative time, and duration of hospital stay. The incidence of intraoperative complications was similar between the 2 groups. Conclusion: Laparoscopic management of masses that are suspicious for malignancy or borderline pathology is associated with an increased risk in specific intra-operative and post-operative morbidities in comparison to benign masses. Surgeons should tailor the operative risks with their patients according to the preoperative likelihood of the mass being carcinoma or borderline malignancy. © 2011. Asian Society of Gynecologic Oncology, Korean Society of Gynecologic Oncology and Colposcopy.
Authors & Co-Authors
Gad, Mohamad S.
Egypt, Shibin el Kom
Menoufia University Faculty of Medicine
El-Khouly, Nabih Ibrahim
Egypt, Shibin el Kom
Menoufia University Faculty of Medicine
United States, New York
Icahn School of Medicine at Mount Sinai
Soto, Enrique
United States, New York
Icahn School of Medicine at Mount Sinai
Brodman, Michael
United States, New York
Icahn School of Medicine at Mount Sinai
Chuang, Linus T.
United States, New York
Icahn School of Medicine at Mount Sinai
Nezhat, Farr Reza
United States, New York
St. Luke's-roosevelt Hospital Center
Gretz, Herbert F.
United States, New York
Icahn School of Medicine at Mount Sinai
Statistics
Citations: 13
Authors: 7
Affiliations: 3
Identifiers
Doi:
10.3802/jgo.2011.22.1.18
e-ISSN:
20050399
Research Areas
Cancer
Health System And Policy
Study Design
Cohort Study
Participants Gender
Female