Laparoscopy in patients with ovarian tumours in Oncology Centre of Warsaw, Poland: Results of treatment

Abstract

Since January 1995 to January 1998 in Gynaecological Oncology Department in Warsaw 86 patients with ovarian tumours were operated with employment of laparoscopy.

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Methods: Preoperative diagnostic procedure consist of clinical and gynaecological examination, Ca-125 serum level determination and transvaginal ultrasonography. Furtermore, Resistant Index (RI) was estimated in 25 patients during transvaginal US G with colour doppler flow. Ovarian structure was estimated according to Campbell scale.

Results: Kinds of operation

Enucleatio cyst                                24

Ovary partial resection                      9

Unilateral adnexectomy                    32

Bilateral adnexectomy                      20

Salpingoneostomy                            1

Total                                               86

Mean diameter of tumours was 6 cm. The biggest serous cyst was 15 cm in diameter. One woman with borderline tumour was operated in 12 weeks of pregnancy. During follow up there no recurrence in none of patients. There were any serious intra and postoperative complications.

Conclusions: 1. Laparoscopy is a method of choice in treatment of benign ovarian tumours, especially in young women, with regards to shorter time of hospitalization and smaller surgical injury 2. In young women in reproductive period sparing operation should be performed enucleatio cyst or unilateral adnexetomy unless first kind of operation is possible with regards to type or size of tumour.