Unit:
Κατεύθυνση Έρευνα στην Γυναικεία ΑναπαραγωγήLibrary of the School of Health Sciences
Author:
Δετοράκης Στυλιανός
Supervisors info:
Επίκουρος Καθηγητής Αθανάσιος Πρωτοπαπάς, Επίκουρη Καθηγήτρια Παππά Καλλιόπη, Λέκτορας Δημήτριος Χαϊδόπουλος
Original Title:
Λαπαροσκοπική κυστεκτομή εντός σάκου. Είναι εφικτή η ακέραιη εξαίρεση της κύστης; Είναι τελικά ογκολογικά ασφαλής τεχνική;
Summary:
Study objective: To prospectively investigate whether laparoscopic cystectomy
of an intact cyst performed in an endoscopic bag can result in complete
avoidance of spillage of its contents.
Materials & Methods: Our technique involved introduction of a water-proof
endoscopic bag without an external manipulator, into the peritoneal cavity, and
placement of the involved adnexa into the bag. Laparoscopic cystectomy was
performed without previous evacuation of the cyst, making an effort to keep the
adnexa inside the sac throughout the procedure, and excise the cyst without
rupture, using 3 accessory trocars. Any leakage was recorded. In cases with
bilateral cysts the side harboring the smaller cyst was treated first.
Conclusions:
The above technique of ovarian cystectomy appears to be safe for cystic
tumors with a diameter < 8cm. Manipulation of larger tumors with the adnexa
into the sac may be more difficult, and in such cases previous paracentesis and
evacuation of the cyst contents should be considered.
The odds ratio of the rupture of a cyst increases by 48% for every 1 cm raise
of the maximal cyst diameter (MCD)
Mucinous cystadenomas have 10.7 times increased possibility of rupture rather
than other histological types, when all other parameters remain the same
The odds ratio of the spillage of a cyst increases 4 times for every 1 cm
raise of the maximal cyst diameter (MCD)
Keywords:
Laparoscopy, Cyst, Bag, Rupture, Spillage