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Updated: Jun 27, 2026
Surgical Techniques to Optimize Ovarian Reserve during Laparoscopic Cystectomy for Ovarian Endometrioma
Published on: January 22, 2022
Laparoscopic ovarian cystectomy in children
Edan Y Shapiro1, Jonathan D Kaye, Lane S Palmer
1Division of Pediatric Urology, Schneider Children's Hospital of the North Shore-Long Island Jewish Health System, Long Island, Lake Success, NY 11042, USA.
Insights
Laparoscopic surgery is a safe and effective treatment for benign ovarian cysts in pediatric patients. This minimally invasive approach offers advantages for young girls with ovarian cysts.
Area of Science:
- Pediatric Surgery
- Gynecologic Oncology
- Minimally Invasive Surgery
Background:
- Ovarian cysts are uncommon but significant pelvic masses in pediatric patients.
- Laparoscopic management of pediatric ovarian cysts is underutilized despite known benefits.
Observation:
- Two pediatric cases of ovarian cysts (one adolescent, one neonate) were treated laparoscopically.
- Pathology confirmed simple, benign ovarian cysts in both patients.
- No complications were reported post-operatively.
Findings:
- Laparoscopic treatment of simple benign ovarian cysts in pediatric patients is feasible.
- The technique is safe and effective across all pediatric age groups.
Implications:
- Encourages wider adoption of laparoscopic techniques for pediatric ovarian cysts.
- Highlights the safety and efficacy of minimally invasive surgery in young females.
- Potential for reduced recovery times and improved cosmetic outcomes in pediatric patients.
Objectives:
To present our technique and experience with laparoscopic treatment of ovarian cysts in pediatric patients. Ovarian cysts are rare but important in the consideration of pelvic cystic masses in patients of all ages. The laparoscopic management of these cysts in young girls has been slow to gain popularity despite the well-known advantages of this surgical approach for other abdominal and pelvic pathologic findings.
Methods:
We present our technique and experience with 2 pediatric patients who underwent laparoscopic treatment of pelvic cystic masses that were found to be ovarian cysts.
Results:
One patient presented with a large cyst in adolescence, and the other with a complex cyst as a neonate. The final pathologic examination revealed the presence of a simple, benign ovarian cyst in both cases. Neither patient had any complications.
Conclusions:
The laparoscopic approach to the simple benign ovarian cyst is safe and effective in all pediatric age groups.
