Clinical Analysis Of Laparoscopic Treatment In Mature Cystic Teratoma Of The Ovary

Background:Mature cystic teratoma of the ovary (MCTO) is the most common benign neoplasm of the ovary. Accounting for10%to20%of all ovarian tumors.The proportion of asymptomatic tumors is majority. Although frequently asymptomatic and detected incidentally, approximately20%of cases reported clinical attention with complications, such as torsion, rupture, infection and malignant transformation. Torsion is considered the most common complication associated with MCTO. The basic treatment of MCTO is operation, although the traditional operative for this disease is laparotomy, most of patients prefer to the laparoscopy rather than the laparotomy, there are two reasons: firstly, MCTO occurs most commonly during the reproductive age, specially in the age of20-40; secondly, the obvious advantages of the laparoscopy are less trauma, better effect, less postoperative pain, fast recovery, and less complications. As a result, this minimally invasive surgical technology becomes the first choice for more and more young female patients.Objective:This was a retrospective study.166medical records of patients who underwent operative removal of MCTO at The First Affiliated Hospital Of Soochow University between May2007and September2012(91MCTO patients underwent laparoscopy and75MCTO patients underwent laparotomy in the same period). The objective of the study was to evaluate effect and clinical value of laparoscopic treatment for mature cystic teratoma of the ovary.Methods:(1) Object:166medical records were reviewed from patients who underwent operative removal of MCTO at The First Affiliated Hospital Of Soochow University between May2007and September2012.91patients underwent laparoscopy, and75patients underwent laparotomy;(2) Observation item:Compared with the two groups in operation time, perioperative bleeding, postoperative hospitalization, postoperative morbidity and the postoperative pain.Results:(1) Laparoscopy surgery had less perioperative bleeding, less postoperative pain, less postoperative morbidity, shorter postoperative hospitalization compared with laparotomy, and the difference was statistically significant (P<0.05);(2) The difference in operation time between two groups was not statistically significant (P>0.05).Conclusion:(1) Laparoscopy has the common merits:less trauma, less bleeding, light pain, quick recovery, short hospitalization, operation incision heals well;(2) Laparoscopic removal of ovarian mature teratoma has unique advantages:operative visual field is fully exposed, clear, if cyst rupture and spillage occurs, abdominal irrigation continued until the viscous lavage is clear, and it has less postoperative complications, ovarian mature teratoma prone reversed, after diagnosis, choosing elective laparoscopic surgery as soon as possible can reduce the incidence of emergency laparotomy;(3) The difference in operation time between two groups may be closely related to endoscopic doctor’s skill, experience an and operation apparatus.