1. Home
  2. Vol 28, No 12 (2024)
  3. France

Surgery for giant ovarian cysts in Guyana using singleport laparoscopy: a retrospective case series analysis

Natasha France(1), Radha Sookraj(2), Sabrina Gittens(3), Yuan Jiang(4),


(1) Department of Obstetrics and Gynecology, Georgetown Public Hospital Corporation,Georgetown, Guyana
(2) Department of Obstetrics and Gynecology, Georgetown Public Hospital Corporation,Georgetown, Guyana
(3) Department of Obstetrics and Gynecology, Georgetown Public Hospital Corporation,Georgetown, Guyana
(4) Department of Obstetrics and Gynecology, Nanjing Drum Tower Hospital, Affiliated Hospital of Nanjing University Medical School, Nanjing , China
Corresponding Author

Abstract


Giant ovarian cysts (GOCs) have become less common in developed countries due to routine health screenings, but they remain prevalent in economically underdeveloped regions. Treatment options for GOCs depend on factors such as age, cyst characteristics, and pregnancy status. Minimally invasive single-port laparoscopic surgery has largely replaced traditional open surgery due to its aesthetic advantages and effectiveness. In this case series, six patients with giant ovarian cysts, including two pregnant women, underwent single-port laparoscopic surgery. The procedure was aimed to reduce scarring, ensure safety, and preserve fertility. Strict criteria were used to rule out malignancy and assess suitability for the minimally invasive approach. Five patients had successful surgeries with positive cosmetic outcomes, while one required conversion to a mini-laparotomy due to technical difficulties. Postoperative recovery was smooth, with patients expressing satisfaction with the aesthetic results. This study demonstrates that single-port laparoscopic surgery is a safe and effective method for treating large ovarian cysts, combining the advantages of traditional laparoscopy with enhanced cosmetic results. The approach is particularly beneficial for younger and pregnant patients, with careful timing of surgery recommended to minimize pregnancy-related risks.

References


Wheeler V, Umstead B and Chadwick C. Adnexal Masses:

Diagnosis and Management. Am Fam Physician.

;108(6):580-7.

Katke RD. Giant Mucinous Cystadenocarcinoma of Ovary: A

Case Report and Review of Literature. J Midlife

Health (2016) 7(1):41-4.

Jiang L, Zhao X, Han Y, Liu K and Meng X. Giant Ovarian

Cysts Treated by Single-Port Laparoscopic Surgery: A

Case Series. Front Oncol (2021) 11:796330.

Kim HY, Cho MK, Bae EH, Kim SW and Ma SK.

Hydronephrosis Caused by a Giant Ovarian Cyst. Int

Braz J Urol (2016) 42(4):848-9.

Biggs WS and Marks ST. Diagnosis and Management of

Adnexal Masses. Am Fam Physician (2016)

(8):676-81. .

Ng ZQ, Pradhan S and Wijesuriya R. Dilemma of the Giant

Abdominal Cyst. BMJ Case Rep (2019) 12(1).

Han L, Wan Q, Chen Y and Zheng A. Single-Port

Laparoscopic Surgery for Adnexal Mass Removal

During Pregnancy: The Initial Experience of a Single

Institute. Front Med (Lausanne) (2021) 8:800180.

Nakayama K, Yoshimura Y, Razia S, Yamashita H, Ishibashi

T, Ishikawa M, Sasamori H, Sawada K, Kurose S,

Sato S and Kyo S. Single-Port Laparoscopic Surgery

for Ovarian Cystectomy: A Single-Center Analysis of

Cases. Mol Clin Oncol (2021) 15(2):160.

Farghaly SA. Current Diagnosis and Management of Ovarian

Cysts. Clin Exp Obstet Gynecol (2014) 41(6):609-12.

McMinn E and Schwartz N. Adnexal Masses in Pregnancy.

Clin Obstet Gynecol (2020) 63(2):392-404. Epub

/03/14.

Dubuisson J, Heersche S, Petignat P and Undurraga M.

Laparoscopic Management of Giant Ovarian Cysts

Using the Alexis Laparoscopic System®: A Case

Series. Front Surg (2020) 7:24.

Sharen G, Chen H and Zhao H. Transumbilical

Laparoendoscopic Single-Site Surgery with a SelfMade Port to Remove Giant Ovarian Cysts. Asian J

Surg (2021) 44(8):1091-3.

Xiao J, Zhou J, Liang H, Liu F, Xu C and Liang L. Impact

of Hemostatic Methods on Ovarian Reserve and

Fertility in Laparoscopic Ovarian Cystectomy. Exp

Ther Med (2019) 17(4):2689-93.

Canlorbe G, Chabbert-Buffet N and Uzan C. Fertility-Sparing Surgery for Ovarian Cancer. J Clin Med

(2021) 10(18).

Albers CE, Ranjit E, Sapra A, Bhandari P and Wasey W.

Clinician Beware, Giant Ovarian Cysts Are Elusive

and Rare. Cureus (2020) 12(1):e6753.

Ishikawa H and Shozu M. Modified Leak-Proof Puncture

Technique for the Aspiration of Giant Ovarian Cysts

by Instantly Mounting a Plastic Wrap and Gauze with

Cyanoacrylates: A Retrospective Observational

Study. Front Surg (2022) 9:948073.

Sireesha MU, Chitra T, Subbaiah M and Nandeesha H.

Effect of Laparoscopic Ovarian Cystectomy on

Ovarian Reserve in Benign Ovarian Cysts. J Hum

Reprod Sci (2021) 14(1):56-60.

Jiang X, Zuo X and Zhu H. Laparoendoscopic Single-Site

Technique Contrasted with Conventional

Laparoscopy in Cystectomy for Benign Ovarian

Cysts. Curr Ther Res Clin Exp (2023) 99:100713.

Chong GO, Hong DG and Lee YS. Single-Port (Octoport)

Assisted Extracorporeal Ovarian Cystectomy for the

Treatment of Large Ovarian Cysts: Compare to

Conventional Laparoscopy and Laparotomy. J Minim

Invasive Gynecol (2015) 22(1):45-9.


Full Text: PDF

Article Metrics

Abstract View : 627 times
PDF Download : 249 times

Refbacks

  • There are currently no refbacks.