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Updated: Dec 28, 2025

Laparoscopic Anatomical Right Hemihepatectomy via the In Situ Anterior Approach
Published on: August 8, 2025
Surgical removal of a gigantic abdominal mass: a multidisciplinary approach
Jordana Kincey1, Shannon N Westin, Bihong Zhao
1From the Departments of Obstetrics and Gynecology and Pathology, Lyndon Baines Johnson Hospital, Houston, Texas; and the Department of Gynecologic Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas.
Background:
Ovarian cystadenomas are common benign ovarian neoplasms that rarely present as gigantic abdominal masses. A variety of intraoperative and postoperative challenges may be encountered in the removal of these masses.
Case:
We review the case of a 45-year-old woman who presented with massive abdominal swelling that was later identified as two distinct bilateral serous cystadenomas with a combined weight of approximately 107 kg. A multidisciplinary team including gynecology, plastic surgery, anesthesiology, and the operating room staff convened before surgery to discuss surgical technique, physiologic considerations, and logistical issues.
Conclusion:
A multidisciplinary approach had an integral role in intraoperative safety and successful recovery of our patient from this surgery.
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