Criteria For Selection Of Laparoscopy For Women With Adnexal Mass

dc.creatorBarreta A.
dc.creatorSallum L.F.
dc.creatorSarian L.O.
dc.creatorBastos J.F.B.
dc.creatorDerchain S.
dc.date2014
dc.date2015-06-25T17:51:09Z
dc.date2015-11-26T14:55:42Z
dc.date2015-06-25T17:51:09Z
dc.date2015-11-26T14:55:42Z
dc.date.accessioned2018-03-28T22:07:48Z
dc.date.available2018-03-28T22:07:48Z
dc.identifier
dc.identifierJournal Of The Society Of Laparoendoscopic Surgeons. Society Of Laparoendoscopic Surgeons, v. 18, n. 3, p. - , 2014.
dc.identifier10868089
dc.identifier10.4293/JSLS.2014.00215
dc.identifierhttp://www.scopus.com/inward/record.url?eid=2-s2.0-84924099024&partnerID=40&md5=5b12d6f9faa6cad0dd1a4097829b0b4f
dc.identifierhttp://www.repositorio.unicamp.br/handle/REPOSIP/85995
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/85995
dc.identifier2-s2.0-84924099024
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1255366
dc.descriptionObjectives: We compared the indication of laparoscopy for treatment of adnexal masses based on the risk scores and tumor diameters with the indication based on gynecology-oncologists’ experience. Methods: This was a prospective study of 174 women who underwent surgery for adnexal tumors (116 laparotomies, 58 laparoscopies). The surgeries begun and completed by laparoscopy, with benign pathologic diagnosis, were considered successful. Laparoscopic surgeries that required conversion to laparotomy, led to a malignant diagnosis, or facilitated cyst rupture were considered failures. Two groups were defined for laparoscopy indication: (1) absence of American College of Obstetrics and Gynecology (ACOG) guideline for referral of high-risk adnexal masses criteria (ACOG negative) associated with 3 different tumor sizes (10, 12, and 14 cm); and (2) Index of Risk of Malignancy (IRM) with cutoffs at 100, 200, and 300, associated with the same 3 tumor sizes. Both groups were compared with the indication based on the surgeon’s experience to verify whether the selection based on strict rules would improve the rate of successful laparoscopy. Results: ACOG-negative and tumors ≤10 cm and IRM with a cutoff at 300 points and tumors ≤10cm resulted in the same best performance (78% success = 38/49 laparoscopies). However, compared with the results of the gynecology-oncologists’ experience, those were not statistically significant. Discussion: The selection of patients with adnexal mass to laparoscopy by the use of the ACOG guideline or IRM associated with tumor diameter had similar performance as the experience of gynecology-oncologists. Both methods are reproducible and easy to apply to all women with adnexal masses and could be used by general gynecologists to select women for laparoscopic surgery; however, referral to a gynecology-oncologist is advisable when there is any doubt.
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dc.languageen
dc.publisherSociety of Laparoendoscopic Surgeons
dc.relationJournal of the Society of Laparoendoscopic Surgeons
dc.rightsfechado
dc.sourceScopus
dc.titleCriteria For Selection Of Laparoscopy For Women With Adnexal Mass
dc.typeArtículos de revistas


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