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Original ArticleOpen Access
Laparoscopic Cystectomy of an Ovarian Mucinous Cystadenoma in a 12-Year-Old Girl : A Possible Role of Operative Laparoscopy for a Huge Benign Adnexal Mass
Chalermchockcharoenkit A 
,
Chaisilwattana P ,
Ruangvutilert P
,
Chaisilwattana P ,
Ruangvutilert P The case of an obese 12-year-old girl with a huge and mobile pelvic cystic mass is presented.
After ultrasonography and determination of tumor markers, a right huge benign adnexal mass was
suspected. In order to avoid exploratory laparotomy because severe pain and a large operative scar were
expected, an operative laparoscopy was performed. No intra-operative and post-operative complica-
tions were observed. With the uneventful recovery, only a one-day hospital stay was needed. Neither
residual nor recurrent evidence was suspected after 2-, 6-, 12-, 18-and 24-months follow-up. With
proper case selection, good pre-operative counseling and the operation performed under familiarity and
good training in laparoscopy, laparoscopic management of a huge suspected benign adnexal mass is
technically feasible. The benefits are reducing hospital stay, lowering morbidity, especially less pain and
cosmetic acceptance of the operative scar.
Key word : Operative Laparoscopy, Benign Adnexal Mass, Ovarian Mucinous Cystadenoma
After ultrasonography and determination of tumor markers, a right huge benign adnexal mass was
suspected. In order to avoid exploratory laparotomy because severe pain and a large operative scar were
expected, an operative laparoscopy was performed. No intra-operative and post-operative complica-
tions were observed. With the uneventful recovery, only a one-day hospital stay was needed. Neither
residual nor recurrent evidence was suspected after 2-, 6-, 12-, 18-and 24-months follow-up. With
proper case selection, good pre-operative counseling and the operation performed under familiarity and
good training in laparoscopy, laparoscopic management of a huge suspected benign adnexal mass is
technically feasible. The benefits are reducing hospital stay, lowering morbidity, especially less pain and
cosmetic acceptance of the operative scar.
Key word : Operative Laparoscopy, Benign Adnexal Mass, Ovarian Mucinous Cystadenoma
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