Background: Serous cystadenomas are common benign ovarian tumors that range in diameter from 3 cm to 40 cm. The main purpose of this case report is to present the successful treatment of a huge serous cystadenoma using a special laparoscopic technique, without any postoperative complications. Case: A case of a serous cystadenoma in a 67-year-old woman who presented with abdominal distension and nonspecific abdominal pain is presented. Computerized tomography and ultrasound revealed a huge ovarian serous cystadenoma on the right ovary with dimensions of 13.5 cm×11.4 cm×19.5 cm. The cyst was completely excised by laparoscopic surgery, and the histopathologic findings confirmed the diagnosis. Results: Postoperatively, the patient had a quick recovery, and she was discharged on postoperative day 3 without any complications. She showed no signs of recurrence during a follow-up period of 6 months. Conclusions: The current contradictory opinions about the laparoscopic treatment of huge serous cystadenomas have made laparotomy the standard approach. However, laparoscopic surgery should be a safe treatment of choice even in patients with large serous cystadenomas because, with proper handling, this technique can ensure complete tumor excision and reduce the probability of the intraperitoneal diffusion of cancerous cells. Furthermore, this procedure allows a quick recovery and discharge without any postoperative complications. (J GYNECOL SURG 29:105)
VecchioR, LeanzaV, GenoveseF, AccardiM, GelardiV, IntagliataE. Conservative laparoscopic treatment of a benign giant ovarian cyst in a young woman. J Laparoendosc Adv Surg Tech A, 2009; 19:647.
6.
WangCJ, ChaoA, LaiCH, HuangSY, LeeCL, SoongYK. Laparoscopically assisted vaginal ovarian cystectomy for clinically diagnosed benign large ovarian masses. J Laparoendosc Adv Surg Tech A, 2009; 19:623.
7.
JohnsonJR, LeeC, CarnettS, VadakekutE. Laparoscopic management of enlarged serous cystadenoma in advanced pregnancy. J Minim Invasive Gynecol, 2007; 14:247.
8.
SalemHA. Laparoscopic excision of large ovarian cysts. J Obstet Gynaecol Res, 2002; 28:290.
9.
CocciaaME, RizzelloaF, BraccobGL, ScarselliaaG. Seven-liter ovarian cyst in an adolescent treated by minimal access surgery: Laparoscopy and open cystectomy. J Pediatr Surg, 2009; 44:E5.
10.
PalmerR. Safety in laparoscopy. J Reprod Med, 1974; 13:1.
11.
ShindholimathVV, JyotiSG, PatilKV, AmmanagiAS. Laparoscopic management of large ovarian cysts at a rural hospital. J Gynecol Endosc Surg, 2009; 1:94.
12.
GöçmenA, AtakT, UçarM, SanlikalF. Laparoscopy-assisted cystectomy for large adnexal cysts. Arch Gynecol Obstet, 2009; 279:17.
13.
DemboAG. Prognostic factors in patients with stage I epithelial ovarian cancer. Obstet Gynecol, 1990; 75:263.
14.
GhezziF, CromiA, UccellaS, SiestoG, ZefiroF, BolisP. Incorporating laparoscopy in the practice of a gynecologic oncology service: Actual impact beyond clinical trials data. Ann Surg Oncol, 2009; 16:2305.
