Objective: Laparoscopic ovarian cystectomy is going to be routine technique even for pregnant women because of providing minimal invasion and cosmetic advantage. We summarized 25 cases of laparoscopic surgery and 13 cases of laparotomy for ovarian tumor in pregnant women.
Design: Clinical data from 38 cases of ovarian tumor with pregnant surgically treated in our institute were retrospectively analyzed. Surgical treatment was applied when ovarian tumor diameter was more than 60mm or patient had symptoms. The patients with either high level of serum tumor marker or thickened cyst wall or papillary region by ultrasonograph were excluded from endoscopic surgery.
Results: The mean gestational week when provided surgical treatment was 14.0 weeks. The mean diameter of tumor was 86.7mm. Abdominal wall lifting method using Kirschner wire and extra-corporal cystectomy were applied in all of laparoscopic surgery. The mean duration of laparoscopic surgery was 112 min. that is significantly longer than laparotomy (70min, p<0.05) . The mean period of hospitalization for laparoscopic surgery was 8.4 days, that is significantly shorter than laparotomy (10.7 days, p<0.05) . Eighteen cases of laparoscopic surgery obtained intact babies at term. One case was fetal hydrops and fall into stillborn at 18 gestational week. One case was premature delivery at 27 weeks. Any relationship between events and laparoscopic surgery were not found in both cases.
Conclusion: We closely confirmed that the laparoscopic surgery for ovarian cyst is useful and safe even in pregnant women.
