Differences in perioperative outcomes after laparoscopic management of benign and malignant adnexal masses Mohamad S. Gad1, Nabih I. El Khouly1,2, Enrique Soto2, Michael Brodman2, Linus Chuang2, Farr R. Nezhat3, Herbert F. Gretz2 1
Faculty of Medicine, El Menoufiya University, Shipin El Kom, Egypt, 2Department of Obstetrics, Gynecology and Reproductive Science, Mount Sinai School of Medicine, 3St. Luke’s-Roosevelt Hospital Center, New York, NY, USA
Objective: To compare the feasibility and safety of the laparoscopic management of adnexal masses appearing preoperatively benign with those suspicious for malignancy. Methods: Retrospective study of 694 women that underwent laparoscopic management of an adnexal mass. Results: Laparoscopic management of an adnexal mass was completed in 678 patients. Six hundred and thirty five patients had benign pathology (91.5%) and 53 (7.6%) had primary ovarian cancers. Sixteen patients (2.3%) were converted to laparotomy; there were 13 intraoperative (1.9%) and 16 postoperative complications (2.3%). Patients divided in 2 groups: benign and borderline/malignant tumors. Patients in the benign group had a higher incidence of ovarian cyst rupture (26% vs. 8.7%, p
