Transumbilical Single-Port Laparoscopic Cystectomy of Giant Ovarian Teratoma

Yun Yang; Huimin Tang; Yao Chen; Wulin Shan; Mengru Zhao; Mengyue Chen; Bin Tang; Hong Zheng; Bairong Xia; Jiming Chen

doi:doi:10.11648/j.jgo.20231102.14

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Transumbilical Single-Port Laparoscopic Cystectomy of Giant Ovarian Teratoma

Yun Yang, Huimin Tang, Yao Chen, Wulin Shan, Mengru Zhao, Mengyue Chen, Bin Tang, Hong Zheng, Bairong Xia, Jiming Chen

Published in Journal of Gynecology and Obstetrics (Volume 11, Issue 2)

Received: 27 March 2023 Accepted: 18 April 2023 Published: 27 April 2023

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Abstract

Mature ovarian teratomas are benign germ cell tumors of the ovary, accounting for about 10 % -20 % of ovarian tumors and 95 % of ovarian teratomas. Mature ovarian teratomas are common in young women. They are usually unilateral, slow growing, cystic, mobile, smooth, with little or no ascites. Ovarian cystectomy for benign neoplasms instead of oophorectomy is mandatory for ovarian function preservation. We report a case of a large pelvic teratoma in a 19-year-old adolescent female, approximately 20.7cm×10.5cm in size. The patient's main clinical presentation was mild lower abdominal pain, After transumbilical single-port laparoscopic ovarian cystectomy, the final histopathological report was bilateral ovarian mature teratoma. This case report suggests that transumbilical single-port laparoscopic-assisted in vitro giant ovarian tumor ablation is a safe and feasible surgical approach for patients with benign large adrenal tumors. it effectively combines the advantages of open surgery and laparoscopic resection of large ovarian tumors, which not only protects ovarian function, but also avoids cyst fluid overflow and has significant postoperative cosmetic effects. Nevertheless, this study also had some limitations. First, this was a case report and not a multi-center randomized controlled trial. Second, it included a single patient and the short follow-up data precluded us from deriving any conclusions about the long-term efficacy and safety of this method.

Published in	Journal of Gynecology and Obstetrics (Volume 11, Issue 2)
DOI	10.11648/j.jgo.20231102.14
Page(s)	47-51
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Mature Ovarian Teratoma, Transumbilical Single-Port Laparoscopic, Cystectomy

References

[1]	Hiester A, Nettersheim D, Nini A, Lusch A, Albers P. Management, Treatment, and Molecular Background of the Growing Teratoma Syndrome. Urol Clin North Am. 2019; 46 (3): 419-427.
[2]	Amies Oelschlager AM, Gow KW, Morse CB, Lara-Torre E. Management of Large Ovarian Neoplasms in Pediatric and Adolescent Females. J Pediatr Adolesc Gynecol. 2016; 29 (2): 88-94.
[3]	Eltabbakh GH, Charboneau AM, Eltabbakh NG. Laparoscopic surgery for large benign ovarian cysts. Gynecol Oncol. 2008; 108 (1): 72-76. doi: 10.1016/j.ygyno.2007.08.085.
[4]	Mohamed, M. L.; Nouh, A. A.; El-Behery, M. M.; Mansour, S. A. Effect on ovarian reserve of laparoscopic bipolar electrocoagulation versus laparotomic hemostatic sutures during unilateral ovarian cystectomy. Int. J. Gynaecol. Obstet. 2011, 114, 69–72.
[5]	Coric, M.; Barisic, D.; Pavicic, D.; Karadza, M.; Banovic, M. Electrocoagulation versus suture after laparoscopic stripping of ovarian endometriomas assessed by antral follicle count: Preliminary results of randomized clinical trial. Arch. Gynecol. Obstet. 2011, 283, 373–378.
[6]	Song T, Kim MK, Kim ML, Yoon BS, Seong SJ. Laparoendoscopic single-site surgery for extremely large ovarian cysts: a feasibility, safety, and patient satisfaction study. Gynecol Obstet Invest. 2014; 78 (2): 81-87. doi: 10.1159/000363237.
[7]	Chong GO, Hong DG, Lee YS. Single-port (OctoPort) assisted extracorporeal ovarian cystectomy for the treatment of large ovarian cysts: compare to conventional laparoscopy and laparotomy. J Minim Invasive Gynecol. 2015; 22 (1): 45-49. doi: 10.1016/j.jmig.2014.06.003.
[8]	Lee SR. Fast Leak-Proof, Intraumbilical, Single-Incision Laparoscopic Ovarian Cystectomy for Huge Ovarian Masses: "Hybrid Cystectomy and Reimplantation" Method. Medicine (Kaunas). 2021; 57 (7): 680. Published 2021 Jul 2.
[9]	Kumakiri J, Kikuchi I, Ozaki R, Jinushi M, Kono A, Takeda S. Feasibility of laparoscopically assisted extracorporeal cystectomy via single suprapubic incision using an adjustable-view laparoscope to treat large benign ovarian cysts: comparison with conventional procedure. Eur J Obstet Gynecol Reprod Biol. 2013; 168 (1): 64-67.
[10]	Canis M, Rabischong B, Houlle C, et al. Laparoscopic management of adnexal masses: a gold standard?. Curr Opin Obstet Gynecol. 2002; 14 (4): 423-428.
[11]	Ki EY, Park EK, Jeong IC, et al. Laparoendoscopic Single Site Surgery for the Treatment of Huge Ovarian Cysts Using an Angiocatheter Needle. Yonsei Med J. 2019; 60 (9): 864-869.
[12]	Vergote I, De Brabanter J, Fyles A, et al. Prognostic importance of degree of differentiation and cyst rupture in stage I invasive epithelial ovarian carcinoma. Lancet. 2001; 357 (9251): 176-182.
[13]	Wang X, Li Y. Comparison of perioperative outcomes of single-port laparoscopy, three-port laparoscopy and conventional laparotomy in removing giant ovarian cysts larger than 15 cm. BMC Surg. 2021; 21 (1): 205. Published 2021 Apr 21.
[14]	Templeman, C.; Fallat, M. E.; Blinchevsky, A.; Hertweck, S. P. Noninflammatory ovarian masses in girls and young women. Obs. Gynecol. 2000, 96, 229–233.
[15]	Agarwal, P.; Agarwal, P.; Bagdi, R.; Balagopal, S.; Ramasundaram, M.; Paramaswamy, B. Ovarian preservation in children for adenexal pathology, current trends in laparoscopic management and our experience. J. Indian Assoc. Pediatr. Surg. 2014, 19, 65–69.
[16]	Roh HJ, Lee SJ, Ahn JW, Kwon YS, Cho HJ, Kim DY. Single-port-access, hand-assisted laparoscopic surgery for benign large adnexal tumors versus single-port pure laparoscopic surgery for adnexal tumors. Surg Endosc. 2012; 26 (3): 693-703. doi: 10.1007/s00464-011-1939-z.

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APA Style

Yun Yang, Huimin Tang, Yao Chen, Wulin Shan, Mengru Zhao, et al. (2023). Transumbilical Single-Port Laparoscopic Cystectomy of Giant Ovarian Teratoma. Journal of Gynecology and Obstetrics, 11(2), 47-51. https://doi.org/10.11648/j.jgo.20231102.14

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ACS Style

Yun Yang; Huimin Tang; Yao Chen; Wulin Shan; Mengru Zhao, et al. Transumbilical Single-Port Laparoscopic Cystectomy of Giant Ovarian Teratoma. J. Gynecol. Obstet. 2023, 11(2), 47-51. doi: 10.11648/j.jgo.20231102.14

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AMA Style

Yun Yang, Huimin Tang, Yao Chen, Wulin Shan, Mengru Zhao, et al. Transumbilical Single-Port Laparoscopic Cystectomy of Giant Ovarian Teratoma. J Gynecol Obstet. 2023;11(2):47-51. doi: 10.11648/j.jgo.20231102.14

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@article{10.11648/j.jgo.20231102.14,
  author = {Yun Yang and Huimin Tang and Yao Chen and Wulin Shan and Mengru Zhao and Mengyue Chen and Bin Tang and Hong Zheng and Bairong Xia and Jiming Chen},
  title = {Transumbilical Single-Port Laparoscopic Cystectomy of Giant Ovarian Teratoma},
  journal = {Journal of Gynecology and Obstetrics},
  volume = {11},
  number = {2},
  pages = {47-51},
  doi = {10.11648/j.jgo.20231102.14},
  url = {https://doi.org/10.11648/j.jgo.20231102.14},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20231102.14},
  abstract = {Mature ovarian teratomas are benign germ cell tumors of the ovary, accounting for about 10 % -20 % of ovarian tumors and 95 % of ovarian teratomas. Mature ovarian teratomas are common in young women. They are usually unilateral, slow growing, cystic, mobile, smooth, with little or no ascites. Ovarian cystectomy for benign neoplasms instead of oophorectomy is mandatory for ovarian function preservation. We report a case of a large pelvic teratoma in a 19-year-old adolescent female, approximately 20.7cm×10.5cm in size. The patient's main clinical presentation was mild lower abdominal pain, After transumbilical single-port laparoscopic ovarian cystectomy, the final histopathological report was bilateral ovarian mature teratoma. This case report suggests that transumbilical single-port laparoscopic-assisted in vitro giant ovarian tumor ablation is a safe and feasible surgical approach for patients with benign large adrenal tumors. it effectively combines the advantages of open surgery and laparoscopic resection of large ovarian tumors, which not only protects ovarian function, but also avoids cyst fluid overflow and has significant postoperative cosmetic effects. Nevertheless, this study also had some limitations. First, this was a case report and not a multi-center randomized controlled trial. Second, it included a single patient and the short follow-up data precluded us from deriving any conclusions about the long-term efficacy and safety of this method.},
 year = {2023}
}

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TY - JOUR
T1 - Transumbilical Single-Port Laparoscopic Cystectomy of Giant Ovarian Teratoma
AU - Yun Yang
AU - Huimin Tang
AU - Yao Chen
AU - Wulin Shan
AU - Mengru Zhao
AU - Mengyue Chen
AU - Bin Tang
AU - Hong Zheng
AU - Bairong Xia
AU - Jiming Chen
Y1 - 2023/04/27
PY - 2023
N1 - https://doi.org/10.11648/j.jgo.20231102.14
DO - 10.11648/j.jgo.20231102.14
T2 - Journal of Gynecology and Obstetrics
JF - Journal of Gynecology and Obstetrics
JO - Journal of Gynecology and Obstetrics
SP - 47
EP - 51
PB - Science Publishing Group
SN - 2376-7820
UR - https://doi.org/10.11648/j.jgo.20231102.14
AB - Mature ovarian teratomas are benign germ cell tumors of the ovary, accounting for about 10 % -20 % of ovarian tumors and 95 % of ovarian teratomas. Mature ovarian teratomas are common in young women. They are usually unilateral, slow growing, cystic, mobile, smooth, with little or no ascites. Ovarian cystectomy for benign neoplasms instead of oophorectomy is mandatory for ovarian function preservation. We report a case of a large pelvic teratoma in a 19-year-old adolescent female, approximately 20.7cm×10.5cm in size. The patient's main clinical presentation was mild lower abdominal pain, After transumbilical single-port laparoscopic ovarian cystectomy, the final histopathological report was bilateral ovarian mature teratoma. This case report suggests that transumbilical single-port laparoscopic-assisted in vitro giant ovarian tumor ablation is a safe and feasible surgical approach for patients with benign large adrenal tumors. it effectively combines the advantages of open surgery and laparoscopic resection of large ovarian tumors, which not only protects ovarian function, but also avoids cyst fluid overflow and has significant postoperative cosmetic effects. Nevertheless, this study also had some limitations. First, this was a case report and not a multi-center randomized controlled trial. Second, it included a single patient and the short follow-up data precluded us from deriving any conclusions about the long-term efficacy and safety of this method.
VL - 11
IS - 2
ER -

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Author Information

Yun Yang

Graduate School, Dalian Medical University, Dalian, PR China
Huimin Tang

Department of Gynecology, The Affiliated Changzhou Second People's Hospital of Nanjing Medical University, Changzhou, PR China
Yao Chen

Department of Gynecology, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei,, PR China
Wulin Shan

Department of Gynecology, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei,, PR China
Mengru Zhao

Graduate School, Dalian Medical University, Dalian, PR China
Mengyue Chen

Graduate School, Dalian Medical University, Dalian, PR China
Bin Tang

Department of Gynecology, The Affiliated Changzhou Second People's Hospital of Nanjing Medical University, Changzhou, PR China
Hong Zheng

Department of Gynecology, The Affiliated Changzhou Second People's Hospital of Nanjing Medical University, Changzhou, PR China
Bairong Xia

Department of Gynecology, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei,, PR China
Jiming Chen

Department of Gynecology, The Affiliated Changzhou Second People's Hospital of Nanjing Medical University, Changzhou, PR China

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Plain Text BibTeX RIS

APA Style

Yun Yang, Huimin Tang, Yao Chen, Wulin Shan, Mengru Zhao, et al. (2023). Transumbilical Single-Port Laparoscopic Cystectomy of Giant Ovarian Teratoma. Journal of Gynecology and Obstetrics, 11(2), 47-51. https://doi.org/10.11648/j.jgo.20231102.14

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ACS Style

Yun Yang; Huimin Tang; Yao Chen; Wulin Shan; Mengru Zhao, et al. Transumbilical Single-Port Laparoscopic Cystectomy of Giant Ovarian Teratoma. J. Gynecol. Obstet. 2023, 11(2), 47-51. doi: 10.11648/j.jgo.20231102.14

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AMA Style

Yun Yang, Huimin Tang, Yao Chen, Wulin Shan, Mengru Zhao, et al. Transumbilical Single-Port Laparoscopic Cystectomy of Giant Ovarian Teratoma. J Gynecol Obstet. 2023;11(2):47-51. doi: 10.11648/j.jgo.20231102.14

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@article{10.11648/j.jgo.20231102.14,
  author = {Yun Yang and Huimin Tang and Yao Chen and Wulin Shan and Mengru Zhao and Mengyue Chen and Bin Tang and Hong Zheng and Bairong Xia and Jiming Chen},
  title = {Transumbilical Single-Port Laparoscopic Cystectomy of Giant Ovarian Teratoma},
  journal = {Journal of Gynecology and Obstetrics},
  volume = {11},
  number = {2},
  pages = {47-51},
  doi = {10.11648/j.jgo.20231102.14},
  url = {https://doi.org/10.11648/j.jgo.20231102.14},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20231102.14},
  abstract = {Mature ovarian teratomas are benign germ cell tumors of the ovary, accounting for about 10 % -20 % of ovarian tumors and 95 % of ovarian teratomas. Mature ovarian teratomas are common in young women. They are usually unilateral, slow growing, cystic, mobile, smooth, with little or no ascites. Ovarian cystectomy for benign neoplasms instead of oophorectomy is mandatory for ovarian function preservation. We report a case of a large pelvic teratoma in a 19-year-old adolescent female, approximately 20.7cm×10.5cm in size. The patient's main clinical presentation was mild lower abdominal pain, After transumbilical single-port laparoscopic ovarian cystectomy, the final histopathological report was bilateral ovarian mature teratoma. This case report suggests that transumbilical single-port laparoscopic-assisted in vitro giant ovarian tumor ablation is a safe and feasible surgical approach for patients with benign large adrenal tumors. it effectively combines the advantages of open surgery and laparoscopic resection of large ovarian tumors, which not only protects ovarian function, but also avoids cyst fluid overflow and has significant postoperative cosmetic effects. Nevertheless, this study also had some limitations. First, this was a case report and not a multi-center randomized controlled trial. Second, it included a single patient and the short follow-up data precluded us from deriving any conclusions about the long-term efficacy and safety of this method.},
 year = {2023}
}

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