Laparoscopic ovarian cystectomy: extraperitoneal method

A laparoscopic method for resecting benign ovarian cysts has been devised and involves excising the cyst wall extraperitoneally after aspirating the cystic fluid. In this report, the technique and clinical results are described and mini-laparotomy which is used in this technique is discussed. A total of 104patients were treated by this method. The diagnosis was simple cyst in 46,dermoid cyst in 33,and chocolate cyst in 25. The method was successful in 90 patients (87%).The remaining 14(14%)were converted to open surgery, 9 be- cause of severe adhesions. The remaining 5 patients had various complications: malignancy, bladder injury, dermoid content too solid to aspirate, and bleeding. We found endometrioid adenocarcinoma in 1 patient whose chocolate cyst could be removed completely.