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Laparoscopic Management of Adnexal Masses

The Opportunities and the Risks

Authors

  • TANJA PEJOVIC,

    1. Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Yale University School of Medicine, New Haven, Connecticut 06510, USA
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  • FARR NEZHAT

    Corresponding author
    1. Division of Gynecologic Oncology, Mount Sinai School of Medicine, New York, New York 10029, USA
    • Address for correspondence: Farr Nezhat, M.D., FACOG, Division of Gynecologic Oncology, Box 1173, Mount Sinai School of Medicine, 1 Gustav Levy Place, New York, New York 10029. Voice: 212-241-5994; fax: 212-987-6386; farr.nezhat@mssm.edu.

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Abstract

Suspected ovarian neoplasm is a common clinical problem affecting women of all ages. Although the majority of adnexal masses are benign, the primary goal of diagnostic evaluation is the exclusion of malignancy. It has been estimated that approximately 5–10% of women in the United States will undergo a surgical procedure for a suspected ovarian neoplasm during their lifetime. Despite the magnitude of the problem, there is still considerable disagreement regarding the optimal surgical management of these lesions. Traditional management has relied on laparotomy to avoid undertreatment of a potentially malignant process. Advances in detection, diagnosis, and minimally invasive surgical techniques make it necessary now to review this practice in an effort to avoid unnecessary morbidity among patients. Here, we review the literature on the laparosopic approach to the treatment of the adnexal mass without sacrificing the principles of oncologic surgery. We highlight potentials of minimally invasive surgery and address the risks associated with the laparoscopic approach.

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