|[Frontiers in Bioscience 1, g1-7, December 1,1996]|
PLACE AND MODALITIES OF LAPAROSCOPY IN SURGICAL MANAGEMENT OF SUSPECTED ADNEXAL MASSES|
Charles Chapron, Jean-Bernard Dubuisson, Sylvie Capella-Allouc & Xavier Fritel
Service de chirurgie Gynécologique, Clinique Universitaire Baudelocque, C.H.U. Cochin Port-Royal, 123, Boulevard Port-Royal, 75014, Paris, France
Received 9/16/96; Accepted: 9/26/96; On-line 12/01/96
The progress made during the past few years in gynecologic laparoscopic surgery has been considerable. Distinct advantages of operative surgery over laparotomy are now well known. Several series (1-4) have demonstrated that it is now perfectly possible to laparoscopically treat patients presented with ovarian cysts. The laparoscopic management can be either conservative (intra or trans-parietal cystectomy) or radical (adnexectomy or ovariectomy). Surgical treatment of ovarian cancer must be carried out in all cases via midline laparotomy and operative laparoscopy can only be considered when the cyst to be treated is benign. The problem, therefore, is to define the place and modalities for laparoscopy in the diagnosis and management of the adnexal masses. In cases of suspected adnexal masses, the treatment must be radical. Semm (5) was the first to report laparoscopic adnexectomy in 1980. Since then, several authors (6-11) using various methods have reported their experience with this procedure. The aim of this study is to characterize the indications and specify the modalities of adnexectomy for patients presenting with an adnexal mass.