Surgical Outcomes of Laparoscopy Versus Laparotomy for Treatment of Small Benign Ovarian Masses; Prospective Study | ||||
| SECI Oncology Journal | ||||
| Volume 11, Issue 1, January 2023, Page 54-61 | ||||
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| Abstract | ||||
| Background: Adnexal masses are common neoplastic lesions in females. Laparoscopy is considered the gold standard for treatment of benign ovarian cysts. Compared with traditional surgery by laparotomy, operative laparoscopy is associated with a shorter hospital stay, faster recovery, decreased costs, and a lower incidence of postoperative adhesion formation. In this study we aimed for comparison between laparoscopy and conventional open exploration for benign ovarian masses. Methods: This prospective study for females aged 18 – 67 years with ovarian mass referred to surgical oncology department in SECI, Assiut University during 2018-2019 by convenience sampling. This study includes 15 cases for laparoscopic group and 15 cases for laparotomy group. Statistical Package for the Social Sciences (SPSS 24) was used for analysis. Results: Thirty patients presented with benign ovarian lesions (15 patients underwent laparoscopic excision and the other 15 patients underwent conventional open excision). The mean age for laparoscopic cases was about 41.93 ± 14.5 years old and about 39.80 ± 12.4 years old for open cases. The mean duration of surgery and anesthesia in laparoscopic group was significantly more than in laparotomy patients with p-value < 0.001 but the estimated blood loss (EBL) was higher for open cases (about 1.63 ± 0.1L) while for laparoscopic cases was 0.10 ± 0.01L with p-value < 0.001. There were no significant differences between the two patient groups as regards intraoperative complications with p-value = 0.524. For laparoscopic cases, extraction of the ovarian lesions either by Pfannenstiel incision in 9 cases (60%) while 3 cases (20%) from trocar sites and the other 3 cases (20%) extraction of the specimen done transvaginally. For open exploration cases, 11 cases (73.3%) explored by midline incision and 4 cases (26.7%) done through Pfannenstiel incision. postoperative bowel recovery, postoperative pain, hospital stay were significantly better for laparoscopic group with p-value < 0.001. Conclusion: Laparoscopic management of ovarian masses is a better choice for the management of benign ovarian mass with better thorough exploration and faster bowel recovery, less blood loss, shorter time of hospitalization and less post-operative pain but longer operative time. | ||||
| Keywords | ||||
| Benign ovarian mass; laparoscopy; laparotomy | ||||
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