Surgical techniques for ovarian tumor resection during pregnancy：Role of gasless laparoscopy assisted surgery and laparotomy

Abstract

Surgical techniques for adnexal mass resection during pregnancy include laparoscopic and open surgery. At our hospital gasless laparoscopy assisted surgery (GLLA) under lumbar anesthesia is used for ovarian tumor resection during pregnancy, and minimally invasive surgery is performed without general anesthesia or carbon dioxide pneumoperitoneum. We retrospectively investigated nine patients who underwent adnexal tumor surgery during pregnancy at our hospital. GLLA was associated with many advantages such as a smaller surgical incision and shorter operation time in women with ＜27 weeks’gestation. Laparotomy is often necessary after the 27th week of pregnancy in cases of uterine enlargement and ovarian tumors located on the dorsal aspect of the uterus and in women who undergo emergency surgery, which is associated with intestinal tract dilatation. In such cases, initial GLLA followed by minimally invasive surgery may be a useful option. 〔Adv Obstet Gynecol, 76(1): 25-31, 2024(R6.2)〕