Complications of Laparoscopic Surgery for Benign Ovarian Cysts
2000; Elsevier BV; Volume: 7; Issue: 4 Linguagem: Inglês
10.1016/s1074-3804(05)60369-6
ISSN2213-8870
AutoresIngrid Hung Lok, Daljit Singh Sahota, Michael S. Rogers, P. M. Yuen,
Tópico(s)Uterine Myomas and Treatments
ResumoTo assess complications of laparoscopic surgery in the management of ovarian cysts.Prospective observational study (Canadian Task Force classification II-2).University-affiliated hospital.Consecutive patients (513) undergoing laparoscopic surgery for ovarian cysts not suspected to be malignant.Laparoscopic surgery.A total of 587 ovarian cysts were removed from 513 women. Conversion to laparotomy was necessary in five cases (<1%). Mean +/- SD cyst diameter was 5.5+/-2.9 cm, with endometriomas (44. 5%) and dermoids (24.3%) being the two most common pathologies; 6.6% were functional. Mean +/- SD operating time was 69+/-31 minutes, and hospital stay and postoperative convalescence was 2.6+/-1.5 and 14.3 +/-9.6 days, respectively. The overall complication rate was 13.3%. Major complications occurred in three patients (0.6%): one small bowel injury and two ureter injuries. Cannula site complications were five inferior epigastric vessel injuries and four incisional hernias at the 10-mm lateral port site.Laparoscopic ovarian surgery was associated with 13.3% complications, with 0.6% being major. Careful patient selection and proper surgical training are critical to ensure safe performance of laparoscopy.
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