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- W2103345143 abstract "Study Objective: To assess the efficacy and safety of laparoscopic surgery in the management of adnexal tumors with no sings of malignancy. Design: Retrospective chart review (Canadian Task Force classfication II-3). Setting: University Hospital of Valle d'Hebron, Barcelona, Spain. Patients: A total of 2.646 adnexal tumors were removed from 2.345 women. Te mean age was 39.1 years (range: 17- 79 yrs.). Intervention: The procedures performed were total cystectomy, and ovariectomy or adnexectomy in those beyond menopause. Measurements and Main Results: Preoperative assessment was the same as for a conventional surgery. Transvaginal ultrasonography was performed to evaluate the size and internal characteristic of masses to exclude malignancy, also was evaluate the IR by Doppler-colour. Serum Ca 125 and CA 19.9 level was measured in all women at diagnostic laparoscopy, visual inspection, cytologic examination, and if necessary, biopsy and frozen section were performed. If cytology of the frozen section indicated malignancy, the procedure was converted to laparotomy.Fiveteen patiens (0.64%) requiered conversion to laparotomy because of unexpected malignancy. And from seveteen patiens (0.78%) that had a Borderline tumors, six were stadificated by laparoscopy because of the results of patology study one week later. Conclusion: Laparoscopic management of adnexal tumors is a safe and beneficial method in selected patients when are performed by experienced laparoscopic surgeons. The approach to complex ovarian masses is posible in most patiens, however, it should be performed only in centers where an oncologic back-up is inmediately available." @default.
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- W2103345143 date "2010-11-01" @default.
- W2103345143 modified "2023-09-26" @default.
- W2103345143 title "Management of Adnexal Tumors by Laparoscopic Surgery. Unexpected Malignancy" @default.
- W2103345143 doi "https://doi.org/10.1016/j.jmig.2010.08.237" @default.
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