Journal of Indian Association of Pediatric Surgeons
Journal of Indian Association of Pediatric Surgeons
                                                   Official journal of the Indian Association of Pediatric Surgeons                           
Year : 2019  |  Volume : 24  |  Issue : 2  |  Page : 92--96

Review of laparoscopic management of mature cystic teratoma of ovaries in children


Maja Raicevic, Amulya Kumar Saxena 
 Department of Pediatric Surgery, Chelsea Children's Hospital, Chelsea and Westminster NHS Foundation Trust, Imperial College London, London, United Kingdom; Department of Pediatric Surgery, Clinic for Pediatric Surgery and Orthopedic Nis, Clinical Centre of Nis, Nis, Serbia

Correspondence Address:
Dr. Maja Raicevic
Department of Pediatric Surgery, Clinic for Pediatric Surgery and Orthopedics, Clinical Centre of Nis, Nis 128000

Ovarian cystic mature teratomas (OCMTs) are the most frequent ovarian tumors in childhood. This review aimed to determine the feasibility and safety of laparoscopic management of OCMT. Literature was searched for terms “mature,” “ovarian,” “teratomas,” and “laparoscopy.” Primary endpoints were age at surgery, laparoscopic and surgical technique, intraoperative complications, postoperative morbidity, and associated pathology. Literature search revealed 11 articles published between 1998 and 2014 that met the inclusion criteria. There were 105 (n = 95 unilateral; n = 10 bilateral) patients for this analysis, with mean age at surgery being 13 years. Four laparoscopic approaches were opted: gasless transumbilical laparoendoscopic single-site (LESS) surgery (n = 19), gasless multiport surgery (n = 24), single-incision laparoscopic surgery (SILS) (n = 3), and pneumoperitoneum multiport laparoscopy (n = 59). The 10 patients with bilateral OCMT underwent ovary-sparing surgery: LESS-assisted extracorporeal bilateral cystectomy in which tumors were punctured by a balloon catheter (n = 2), intracorporeal cystectomy for gasless multiport laparoscopy (n = 5) with use of endobags to prevent spillage, and transperitoneal multiport laparoscopy (n = 3). OCMT was associated with ipsilateral and unilateral ovarian torsion in five and bilateral ovarian torsion in one patient with bilateral OCMT. In four patients with unilateral OCMT, salpingo-oophorectomy was performed. Intraoperative complications were laceration of utero-ovarian ligament and bladder injury during a suprapubic port placement. The mean follow-up was 31.9 months. Patients with unilateral or bilateral OCMT can be offered ovarian-sparing surgery laparoscopically with one of the following techniques: LESS, SILS or multiport laparoscopy with pneumoperitoneal or gasless. Long-term follow-up of these techniques has shown no recurrence with low postoperative morbidity and low intraoperative complications.


How to cite this article:
Raicevic M, Saxena AK. Review of laparoscopic management of mature cystic teratoma of ovaries in children.J Indian Assoc Pediatr Surg 2019;24:92-96


How to cite this URL:
Raicevic M, Saxena AK. Review of laparoscopic management of mature cystic teratoma of ovaries in children. J Indian Assoc Pediatr Surg [serial online] 2019 [cited 2019 Mar 19 ];24:92-96
Available from: http://www.jiaps.com/article.asp?issn=0971-9261;year=2019;volume=24;issue=2;spage=92;epage=96;aulast=Raicevic;type=0