Laparoscopic Extirpation of the Term Sized Huge Ovarian Cyst

만삭 크기 거대 난소 낭종의 복강경 적출술

  • Koh, Min-Whan (Department of Obstetrics and Gynecology, College of Medicine, Yeungnam University) ;
  • Choo, Hyun-Cheol (Department of Obstetrics and Gynecology, College of Medicine, Yeungnam University) ;
  • Kwon, Oh-Jin (Department of Obstetrics and Gynecology, College of Medicine, Yeungnam University) ;
  • Kim, Jeong-Sook (Department of Obstetrics and Gynecology, College of Medicine, Yeungnam University)
  • 고민환 (영남대학교 의과대학 산부인과학교실) ;
  • 주현철 (영남대학교 의과대학 산부인과학교실) ;
  • 권오진 (영남대학교 의과대학 산부인과학교실) ;
  • 김정숙 (영남대학교 의과대학 산부인과학교실)
  • Published : 2004.06.30

Abstract

A 23 years old single nulligravida woman underwent laparoscopic removal of a huge cystic adnexal mass that occupied her entire abdomen, giving the appearance of a full term pregnancy. After anesthesia, a vertical infra-umbilical incision, 1 cm long, was made and a telescope was introduced through the port to determine the status of the intra-abdomen and the surface contour of the mass. A needle tipped with a laparoscopic suction apparatus was inserted into the cyst through the infra-umbilical port, directly under the mass. Subsequently, 3,200 ml of cystic fluid was aspirated without spillage. A huge cyst, reaching to the level of the xyphoid process was effectively excised through the operative laparoscopy after prelaparoscopic drainage. Operation time was 140 minutes and hospital stay was 2 days. There were no complications during hospital stay and after discharge. It seems the size of the cyst is not a criteria for the contraindication of laparoscopic surgery.

Keywords