Introduction: Despite the recent progress of ovarian mass treatment
by laparoscopic approach, the management of large ovarian cysts is
still under evaluation.
Objective: To investigate the usefulness and effectiveness of the
extracorporeal laparascopical technique in the treatment of large
ovarian cysts.
Materials and methods: From Jan. 2003 to Oct. 2008, 17
consecutive patients with large ovarian cysts were submitted to
laparoscopic treatment. The mean age of patients was 21.7±1.4
(ranged from 13 to 34 years). Tumors size was 15.86±0.69 cm (range
from 10.8 to 20.2 cm.). In three port method, one 11 mm cannula was
placed in the periumbilical area, 11 mm and 5 mm cannulas were
placed in the lateral abdominal incision. After grasping the cyst,
laparoscopic punctured were performed for aspirated the contents. The
empty cyst was removed by bringing it through the 11 mm cannula
outside the abdominal cavity. Then the cystectomy was continued
extracorporeally.
Results: The mean operation time was in the range of 30 to
70 minutes (mean 45.12±2.9 min). Blood loss was 100.5±15.1 ml.
The mean hospital stay was 3–4 days. In all cases tumors were

removed successfully and we have prevented in all cases cyst rupture
and spillage.
Conclusions: Extracorporeal technique with laparoscopically-assisted
management in selected cases is a valuable alternative for laparoscopic
traditional stripping in of ovarian cysts.