Laparoscopic Ovarian Cyst Surgery

We evaluated the feasibility, morbidity, and efficacy of laparoscopic management of ovarian cysts and the concordant sonographic appearance with histologic diagnosis. Preoperative assessments included a detailed family history, pelvic and general examinations, and transvaginal ultrasound examination. The last revealed simple cysts in 38 (69.1%), septate cysts in 15 (27.3%), and complex cysts in 2 (3.6%) women. The final diagnosis was made by peritoneal fluid cytology and intraoperative histologic diagnosis. Of the cysts diagnosed as functional, eight were simple cysts. In the serous group, 17 were simple and 6 septate. In the teratoma group, six were simple, five were septate, and two were complex cysts. The two thought to be paraovarian were only simple cysts. All ultrasound evaluations agreed with the benign histologic diagnoses. We performed 28 enucleations, 10 cystectomies, and 17 ovariectomies. There were no postoperative complications. Laparoscopy seems to be the best choice of surgery for benign ovarian cysts, the results of transvaginal ultrasound examinations being fully concordant with the histologic diagnoses.