Laparoscopy For Diagnosis And Treatment Of Adnexal Masses [laparoscopia Na Abordagem Inicial De Tumores Anexiais]

dc.creatorBarreta A.
dc.creatorBastos J.F.B.
dc.creatorSarian L.O.
dc.creatorde Toledo M.C.S.
dc.creatorSallum L.F.
dc.creatorDerchain S.
dc.date2014
dc.date2015-06-25T18:01:34Z
dc.date2015-11-26T15:03:21Z
dc.date2015-06-25T18:01:34Z
dc.date2015-11-26T15:03:21Z
dc.date.accessioned2018-03-28T22:14:14Z
dc.date.available2018-03-28T22:14:14Z
dc.identifier
dc.identifierRevista Brasileira De Ginecologia E Obstetricia. Federacao Brasileira Das Sociedades De Ginecologia E Obstetricia, v. 36, n. 3, p. 124 - 130, 2014.
dc.identifier1007203
dc.identifier10.1590/S0100-72032014000300006
dc.identifierhttp://www.scopus.com/inward/record.url?eid=2-s2.0-84898882508&partnerID=40&md5=459f216d6f6205deeaa39cb4c4cdaa4a
dc.identifierhttp://www.repositorio.unicamp.br/handle/REPOSIP/87616
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/87616
dc.identifier2-s2.0-84898882508
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1256597
dc.descriptionPURPOSE: To assess clinical factors, histopathologic diagnoses, operative time and differences in complication rates between women undergoing laparoscopy or laparotomy to diagnose and treat an adnexal mass and their association with laparoscopy failure. METHODS: In this prospective study, 210 women were invited to participate and 133 of them were included. Eighty-eight women underwent laparotomy and 45 underwent laparoscopy. Fourteen of the 45 laparoscopies were converted to laparotomy intraoperatively. We assessed whether age, body mass index (BMI), previous abdominal surgeries, CA-125, Index of Risk of Malignancy (IRM), tumor diameter, histological diagnosis, operative time and surgical complication rates differed between the laparoscopy group and the group converted to laparotomy and whether those factors were associated with conversion of laparoscopy to laparotomy. We also assessed surgical logs to evaluate the reasons, as stated by the surgeons, to convert a laparoscopy to laparotomy. RESULTS: In this research, 30% of the women had malignant tumors. CA-125, IRM, tumor diameter and operative times were higher for the laparotomy group than the laparoscopy group. Complication rates were similar for both groups and also for the successful laparoscopy and unsuccessful laparoscopy groups. The surgical complication rate in women with benign tumors was lower for the laparoscopy group than for the laparotomy group. The factors associated with conversion to laparotomy were tumor diameter and malignancy. During laparoscopy, adhesions a large tumor diameter were the principal causes of conversion. CONCLUSION: This study suggests that laparoscopy for the diagnosis and treatment of adnexal masses is safe and does not increase complication rates even in patients who need conversion to laparotomy. However, when doubt about the safety of the procedure and about the presence of malignancy persists, consultation with an expert gynecology-oncologist with experience in advanced laparoscopy is recommended. A large tumor diameter was associated with the necessity of conversion to laparotomy.
dc.description36
dc.description3
dc.description124
dc.description130
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dc.languageen
dc.languagept
dc.publisherFederacao Brasileira das Sociedades de Ginecologia e Obstetricia
dc.relationRevista Brasileira de Ginecologia e Obstetricia
dc.rightsaberto
dc.sourceScopus
dc.titleLaparoscopy For Diagnosis And Treatment Of Adnexal Masses [laparoscopia Na Abordagem Inicial De Tumores Anexiais]
dc.typeArtículos de revistas


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