Surgical approach to three pediatric patients with ovarian tumors: laparoscopic excision using a specimen retrieval...

Area of Science:

• Pediatric Surgery
• Gynecologic Oncology
• Minimally Invasive Surgery

Background:

• Ovarian tumors in pediatric patients require careful surgical management.
• Laparoscopic techniques offer potential benefits for minimally invasive tumor removal.
• Specimen retrieval bags are crucial for containing resected tissues during laparoscopic procedures.

Observation:

• Three pediatric patients underwent laparoscopic excision of ovarian tumors using specimen retrieval bags.
• Tumor removal was achieved with varying techniques, including aspiration in one case.
• One patient required peritoneal lavage due to intraoperative content spillage.

Findings:

• Pathologic examination confirmed mature teratomas in all three patients.
• No evidence of chemical peritonitis or tumor recurrence was observed postoperatively.
• The use of specimen retrieval bags facilitated safe tumor removal, with one instance of spillage managed effectively.

Implications:

• Laparoscopic excision with specimen retrieval bags is a viable approach for pediatric ovarian tumors.
• This technique can reduce the risk of tumor seeding and postoperative complications.
• Further research can explore standardized protocols for specimen retrieval in pediatric gynecologic oncology.