Abstract
The laparoscopic approach to giant ovarian cysts in pediatric population may be difficult
regarding the risk of cyst rupture and limited working space. We herein report a 16-year-old
adolescent girl that presented with a giant ovarian cyst. To reduce the limitations
of the laparoscopy, we performed laparoscopy after draining the cyst under ultrasonographic
guidance. Under local anesthesia, a nephrostomy catheter was placed into the cyst
by the Seldinger technique. During laparoscopy, abdominal cavity was explored by the
scope and then the nephrostomy catheter was removed. Laparoscopic procedure was completed
easily. No pre- and postoperative complications were encountered and the patient was
discharged on the second postoperative day. The pathologic examination of the cyst
revealed as follicular cyst.
Laparoscopic excision of giant ovarian cysts after ultrasound-guided drainage seems
to be safe and applicable treatment modality in children.
Index words
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© 2006 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
