Management of large cystic adnexal tumor by gasless laparoscopic-assisted surgery with wound retractor.

Management of large cystic adnexal tumor by gasless laparoscopic-assisted surgery with wound retractor. Research Abstract Details 

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Management of large cystic adnexal tumor by gasless laparoscopic-assisted surgery with wound retractor. Abstract Text:

Akihiro Takeda,Kotaro Sakai,Takashi Mitsui,Hiromi Nakamura,Akihiro Takeda,Kotaro Sakai,Takashi Mitsui,Hiromi Nakamura,

We used a retrospective analysis to evaluate the efficacy of a wound retractor used in gasless laparoscopic-assisted surgery by the subcutaneous abdominal wall-lift method for the management of large cystic adnexal tumors. In the department of gynecology at a general hospital, 39 patients with large cystic adnexal tumors with an excised tissue weight including cystic contents exceeding 1000 g were treated by gasless laparoscopic-assisted surgery with a wound retractor from January 2001 through December 2006. Intervention was with a gasless laparoscopic-assisted adnexal surgery with a wound retractor. The median age of the patients was 51.5 years (range 16-79 years). The median weight of the excised tissue including cystic contents was 1857 g (range 1044-9454 g). The median blood loss was 30 mL (range 10-570 mL). The median surgical duration was 62 minutes (range 26-107 minutes). There were no major surgical complications. Histopathologic diagnosis of the excised tumor was mucinous cystadenoma, 18 cases; serous cystadenoma, 8 cases; mucinous cystadenocarcinoma of low-grade malignancy, 5 cases; dermoid cyst, 4 cases; paraovarian cyst, 2 cases; endometriotic cyst, 1 case; and clear cell adenocarcinoma, 1 case. Bilateral adnexal tumors were noted in 3 cases. We determined that gasless laparoscopic-assisted adnexal surgery with a wound retractor is an effective, minimally invasive procedure to treat large cystic adnexal tumors.

Management of large cystic adnexal tumor by gasless laparoscopic-assisted surgery with wound retractor. Publishing Authors By Initials

A Takeda,K Sakai,T Mitsui,H Nakamura,A Takeda,K Sakai,T Mitsui,H Nakamura,

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Management of large cystic adnexal tumor by gasless laparoscopic-assisted surgery with wound retractor. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Journal of minimally invasive gynecology

VOLUME: 14

Page Numbers: 644-50

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ISSN: 1553-4650

DAY: 12

MONTH: 09

YEAR: 2007

Management of large cystic adnexal tumor by gasless laparoscopic-assisted surgery with wound retractor. Information

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LANGUAGE: eng

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AFFILIATION: Department of Obstetrics and Gynecology, Gifu Prefectural Tajimi Hospital, Tajimi, Gifu, Japan. gyendoscopy@gmail.com

Country: United States

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MEDLINETA: J Minim Invasive Gynecol

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