Laparoscopic management of ovarian teratoma

M. Canis, M. Candiani, F Giambelli F, A. Wattiez, J. L. Pouly, G. Mage, H. Manhes, M. A. Bruhat

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Objective: The aim of this study is to determine the efficacy and safely of laparoscopic management of ovarian teratomas and to analyse the changes in surgical techniques performed at our Departement from 1980 to 1996. Methods: Data from 221 patients treated for dermoid cyst were analysed. Laparoscopic treatement was performed in 185 women, in 36 cases laparotomy was necessary. Laparoscopic procedures included: radical treatment, transperitoneal cystectomy, intraperitoneal cystectomy and since 1992 intraperitoneal cystectomy without puncture. Results: Among 221 cases treated, 91,8% were diagnosed as teratomas at laparoscopy, one case of immature teratoma was encountered. The technique used to treat dermoid cysts has changed over the years. Since 1989 only 4 patients have been treated by laparotomy and since 1993 cystectomy without puncture was tried in 24,4% of cases and it was successful in 55% of cases. Two cases of chemical peritonitis occurred among the patients whose teratoma was punctured. Conclusions: Laparoscopic diagnosis of ovarian teratoma is generally easy. However, malignant transformation may be encountered. Spillage occurs very often when treating dermoids by laparoscopy, but granulomatous peritonitis is uncommon. However spillage should be avoided as much as possible and cystectomy without puncture should be always tried when the diameter of teratoma is less than 7 cm.

Original languageEnglish
Pages (from-to)47-53
Number of pages7
JournalItalian Journal of Gynaecology and Obstetrics
Volume9
Issue number2
Publication statusPublished - 1997

Fingerprint

Cystectomy
Teratoma
Dermoid Cyst
Punctures
Peritonitis
Laparoscopy
Laparotomy
Ovarian Teratoma

Keywords

  • Dermoid cyst
  • Laparoscopy
  • Teratoma

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

Cite this

Canis, M., Candiani, M., Giambelli F, F., Wattiez, A., Pouly, J. L., Mage, G., ... Bruhat, M. A. (1997). Laparoscopic management of ovarian teratoma. Italian Journal of Gynaecology and Obstetrics, 9(2), 47-53.

Laparoscopic management of ovarian teratoma. / Canis, M.; Candiani, M.; Giambelli F, F; Wattiez, A.; Pouly, J. L.; Mage, G.; Manhes, H.; Bruhat, M. A.

In: Italian Journal of Gynaecology and Obstetrics, Vol. 9, No. 2, 1997, p. 47-53.

Research output: Contribution to journalArticle

Canis, M, Candiani, M, Giambelli F, F, Wattiez, A, Pouly, JL, Mage, G, Manhes, H & Bruhat, MA 1997, 'Laparoscopic management of ovarian teratoma', Italian Journal of Gynaecology and Obstetrics, vol. 9, no. 2, pp. 47-53.
Canis M, Candiani M, Giambelli F F, Wattiez A, Pouly JL, Mage G et al. Laparoscopic management of ovarian teratoma. Italian Journal of Gynaecology and Obstetrics. 1997;9(2):47-53.
Canis, M. ; Candiani, M. ; Giambelli F, F ; Wattiez, A. ; Pouly, J. L. ; Mage, G. ; Manhes, H. ; Bruhat, M. A. / Laparoscopic management of ovarian teratoma. In: Italian Journal of Gynaecology and Obstetrics. 1997 ; Vol. 9, No. 2. pp. 47-53.
@article{22695a625c92417eafcb46c2fd77c122,
title = "Laparoscopic management of ovarian teratoma",
abstract = "Objective: The aim of this study is to determine the efficacy and safely of laparoscopic management of ovarian teratomas and to analyse the changes in surgical techniques performed at our Departement from 1980 to 1996. Methods: Data from 221 patients treated for dermoid cyst were analysed. Laparoscopic treatement was performed in 185 women, in 36 cases laparotomy was necessary. Laparoscopic procedures included: radical treatment, transperitoneal cystectomy, intraperitoneal cystectomy and since 1992 intraperitoneal cystectomy without puncture. Results: Among 221 cases treated, 91,8{\%} were diagnosed as teratomas at laparoscopy, one case of immature teratoma was encountered. The technique used to treat dermoid cysts has changed over the years. Since 1989 only 4 patients have been treated by laparotomy and since 1993 cystectomy without puncture was tried in 24,4{\%} of cases and it was successful in 55{\%} of cases. Two cases of chemical peritonitis occurred among the patients whose teratoma was punctured. Conclusions: Laparoscopic diagnosis of ovarian teratoma is generally easy. However, malignant transformation may be encountered. Spillage occurs very often when treating dermoids by laparoscopy, but granulomatous peritonitis is uncommon. However spillage should be avoided as much as possible and cystectomy without puncture should be always tried when the diameter of teratoma is less than 7 cm.",
keywords = "Dermoid cyst, Laparoscopy, Teratoma",
author = "M. Canis and M. Candiani and {Giambelli F}, F and A. Wattiez and Pouly, {J. L.} and G. Mage and H. Manhes and Bruhat, {M. A.}",
year = "1997",
language = "English",
volume = "9",
pages = "47--53",
journal = "Italian Journal of Gynaecology and Obstetrics",
issn = "1121-8339",
publisher = "CIC Edizioni Internazionali s.r.l.",
number = "2",

}

TY - JOUR

T1 - Laparoscopic management of ovarian teratoma

AU - Canis, M.

AU - Candiani, M.

AU - Giambelli F, F

AU - Wattiez, A.

AU - Pouly, J. L.

AU - Mage, G.

AU - Manhes, H.

AU - Bruhat, M. A.

PY - 1997

Y1 - 1997

N2 - Objective: The aim of this study is to determine the efficacy and safely of laparoscopic management of ovarian teratomas and to analyse the changes in surgical techniques performed at our Departement from 1980 to 1996. Methods: Data from 221 patients treated for dermoid cyst were analysed. Laparoscopic treatement was performed in 185 women, in 36 cases laparotomy was necessary. Laparoscopic procedures included: radical treatment, transperitoneal cystectomy, intraperitoneal cystectomy and since 1992 intraperitoneal cystectomy without puncture. Results: Among 221 cases treated, 91,8% were diagnosed as teratomas at laparoscopy, one case of immature teratoma was encountered. The technique used to treat dermoid cysts has changed over the years. Since 1989 only 4 patients have been treated by laparotomy and since 1993 cystectomy without puncture was tried in 24,4% of cases and it was successful in 55% of cases. Two cases of chemical peritonitis occurred among the patients whose teratoma was punctured. Conclusions: Laparoscopic diagnosis of ovarian teratoma is generally easy. However, malignant transformation may be encountered. Spillage occurs very often when treating dermoids by laparoscopy, but granulomatous peritonitis is uncommon. However spillage should be avoided as much as possible and cystectomy without puncture should be always tried when the diameter of teratoma is less than 7 cm.

AB - Objective: The aim of this study is to determine the efficacy and safely of laparoscopic management of ovarian teratomas and to analyse the changes in surgical techniques performed at our Departement from 1980 to 1996. Methods: Data from 221 patients treated for dermoid cyst were analysed. Laparoscopic treatement was performed in 185 women, in 36 cases laparotomy was necessary. Laparoscopic procedures included: radical treatment, transperitoneal cystectomy, intraperitoneal cystectomy and since 1992 intraperitoneal cystectomy without puncture. Results: Among 221 cases treated, 91,8% were diagnosed as teratomas at laparoscopy, one case of immature teratoma was encountered. The technique used to treat dermoid cysts has changed over the years. Since 1989 only 4 patients have been treated by laparotomy and since 1993 cystectomy without puncture was tried in 24,4% of cases and it was successful in 55% of cases. Two cases of chemical peritonitis occurred among the patients whose teratoma was punctured. Conclusions: Laparoscopic diagnosis of ovarian teratoma is generally easy. However, malignant transformation may be encountered. Spillage occurs very often when treating dermoids by laparoscopy, but granulomatous peritonitis is uncommon. However spillage should be avoided as much as possible and cystectomy without puncture should be always tried when the diameter of teratoma is less than 7 cm.

KW - Dermoid cyst

KW - Laparoscopy

KW - Teratoma

UR - http://www.scopus.com/inward/record.url?scp=0030831198&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0030831198&partnerID=8YFLogxK

M3 - Article

AN - SCOPUS:0030831198

VL - 9

SP - 47

EP - 53

JO - Italian Journal of Gynaecology and Obstetrics

JF - Italian Journal of Gynaecology and Obstetrics

SN - 1121-8339

IS - 2

ER -