転移性卵巣腫瘍に対して腹腔鏡下両側付属器切除を施行した４症例についての検討

抄録

Introduction: There are insufficient reports of experience regarding laparoscopic surgery in cases with metastatic ovarian tumor. We report four cases of metastatic ovarian tumor in patients who underwent laparoscopic bilateral salpingo-oophorectomy.

Case 1: A 62-year-old woman with a history of sigmoid colon cancer was suspected of recurrence in the right ovary, with 54-mm pelvic mass. For diagnostic and therapeutic purposes, we performed bilateral salpingo-oophorectomy. There was no ascites or peritoneal dissemination.

Case 2: A 40-year-old woman with a history of gastric cancer was suspected of recurrence in the right ovary, with 47-mm mass. For diagnostic purposes, we performed bilateral salpingo-oophorectomy. Ascites was small in volume and dissemination was not observed.

Case 3: A 74-year-old woman with a history of gastric cancer was suspected of recurrence in the right ovary, with 50-mm mass. To enable discontinuation of chemotherapy by achieving disease-free status, we performed bilateral salpingooophorectomy. Ascites volume was small and dissemination was not observed. Due to its solid component, the specimen was extracted from the extended umbilical port-site.

Case 4: A 54-year-old woman with a history of gastric cancer was suspected of recurrence in the right ovary, with 76-mm mass. For therapeutic purposes, we performed bilateral salpingo-oophorectomy. Ascites was 1,575 ml and dissemination was not observed. Due to its solid component, the specimen was dissected and extracted from the extended umbilical port-site.

Conclusion: There was no conversion to open surgery and no complication. Laparoscopic bilateral salpingo-oophorectomy was safe in cases with metastatic ovarian tumor.