KMID : 0358420080510020182
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Korean Journal of Obstetrics and Gynecology 2008 Volume.51 No. 2 p.182 ~ p.190
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Laparoscopic management of borderline ovarian tumors; KBSMC experience
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Jung Un-Suk
Lee Jung-Hun Kyung Min-Sun Lee Kyo-Won Han Jong-Sul Choi Joong-Sub
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Abstract
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Objective : To evaluate feasibility and efficacy of laparoscopic management for borderline ovarian tumors.
Methods : From May 2005 to October 2007 in our institution, laparoscopic treatments were performed for 16 patients for borderline ovarian tumors. Through clinical records, the patients¡¯ age, parity, operating time, tumor diameter, length of hospital stay, change in hemoglobin level, intraoperative and postoperative complications, and recurrence were analyzed.
Results : The median age of the patients was 38 years (27-72 years), the median parity was 1 (0-3), and 6 patients were nulliparous., Eight patients were performed conservative surgery, and radical surgery was performed in the remainder. The median operating time was 90 minutes (50-305 minutes), the median hospital stay was 5 days (4-16 days), the median change of the hemoglobin level was 1.5 g/dL (0.2-4.5 g/dL), and the median diameter of the tumors was 8.5 cm. FIGO stage was Ia for 9 patients, Ib for 2, Ic for 4, and IIIc for the last one. Histopathological results showed mucinous tumor for 8 patients, serous tumor for 6, and mixed type and endometrioid tumor for each remaining. Laparoscopic pelvic and paraaortic lymphadenectomy were performed 4 patients. There was no upstaging by intraoperative cystic rupture. Neither laparoconversion nor intraoperative complication was noted. The median duration of follow-up was 20 months (3-53 months) and none showed recurrence. One of 8 patients who were treated conservatively obtained a baby by vaginal delivery in 32th postoperative month.
Conclusion : This preliminary analysis demonstrated patients with borderline ovarian tumor can feasibly and efficiently undergo laparoscopic management.
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KEYWORD
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Borderline ovarian tumors, Laparoscopy, Operative procedure
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