Objective: To evaluate feasibility and efficacy of laparoscopic management for borderline ovarian tumors. Methods: From May 2005 to October 2007 in our institution, laparoscopic treatments were performed for 16 patients for borderline ovarian tumors. Through clinical records, the patients’ age, parity, operating time, tumor diameter, length of hospital stay, change in hemoglobin level, intraoperative and postoperative complications, and recurrence were analyzed. Results: The median age of the patients was 38 years (27-72 years), the median parity was 1 (0-3), and 6 patients were nulliparous., Eight patients were performed conservative surgery, and radical surgery was performed in the remainder. The median operating time was 90 minutes (50-305 minutes), the median hospital stay was 5 days (4-16 days), the median change of the hemoglobin level was 1.5 g/dL (0.2-4.5 g/dL), and the median diameter of the tumors was 8.5 cm. FIGO stage was Ia for 9 patients, Ib for 2, Ic for 4, and IIIc for the last one. Histopathological results showed mucinous tumor for 8 patients, serous tumor for 6, and mixed type and endometrioid tumor for each remaining. Laparoscopic pelvic and paraaortic lymphadenectomy were performed 4 patients. There was no upstaging by intraoperative cystic rupture. Neither laparoconversion nor intraoperative complication was noted. The median duration of follow-up was 20 months (3-53 months) and none showed recurrence. One of 8 patients who were treated conservatively obtained a baby by vaginal delivery in 32th postoperative month. Conclusion: This preliminary analysis demonstrated patients with borderline ovarian tumor can feasibly and efficiently undergo laparoscopic management.

Objective: To evaluate feasibility and efficacy of laparoscopic management for borderline ovarian tumors. Methods: From May 2005 to October 2007 in our institution, laparoscopic treatments were performed for 16 patients for borderline ovarian tumors. Through clinical records, the patients’ age, parity, operating time, tumor diameter, length of hospital stay, change in hemoglobin level, intraoperative and postoperative complications, and recurrence were analyzed. Results: The median age of the patients was 38 years (27-72 years), the median parity was 1 (0-3), and 6 patients were nulliparous., Eight patients were performed conservative surgery, and radical surgery was performed in the remainder. The median operating time was 90 minutes (50-305 minutes), the median hospital stay was 5 days (4-16 days), the median change of the hemoglobin level was 1.5 g/dL (0.2-4.5 g/dL), and the median diameter of the tumors was 8.5 cm. FIGO stage was Ia for 9 patients, Ib for 2, Ic for 4, and IIIc for the last one. Histopathological results showed mucinous tumor for 8 patients, serous tumor for 6, and mixed type and endometrioid tumor for each remaining. Laparoscopic pelvic and paraaortic lymphadenectomy were performed 4 patients. There was no upstaging by intraoperative cystic rupture. Neither laparoconversion nor intraoperative complication was noted. The median duration of follow-up was 20 months (3-53 months) and none showed recurrence. One of 8 patients who were treated conservatively obtained a baby by vaginal delivery in 32th postoperative month. Conclusion: This preliminary analysis demonstrated patients with borderline ovarian tumor can feasibly and efficiently undergo laparoscopic management.

목적: 경계성 난소종양의 복강경적 치료의 가능성과 효용성을 알아보고자 하였다. 연구방법: 2003년 5월부터 2007년 10월까지 본원에서 16명의 경계성 난소종양 환자에 대해 복강경적 치료를 시행하였다. 임상 기록을 통해 환자 나이, 산과력, 수술 시간, 종양 크기, 입원 기간, 혈색소 변화, 조직학적 종류, 병기, 합병증, 그리고 재발 여부를 분석하였다. 결과: 환자연령의 중앙값은 38세 (27~72세)였고, 출산력은 1회 (0~3회)였으며, 미산부는 6명이었다. 8명에서 보존적 수술을 시행하였고, 나머지는 광범위 수술을 시행하였다. 수술시간은 90분 (50~305분), 입원기간은 5일 (4~16일), 혈색소 변화는 1.4 g/dL (0.2~4.5 g/dL)이었으며, 종양 크기의 중앙값은 8.5 cm였다. 병기는 9명이 Ia기, 2명이 Ib기, 4명이 Ic기, 나머지 1명은 IIIc기였다. 병리학적으로 점액성이 8명, 장액성이 6명이었고, 혼합 상피성과 자궁내막양이 각각 1명이었다. 4명에서 양측 골반 및 대동맥주위 림프절절제술을 시행하였다. 종양 파열로 인한 병기상승은 없었으며, 개복술 전환이나 심각한 합병증은 없었다. 추적관찰 기간은 20개월 (3~53개월)이었고, 재발은 없었다. 보존적 치료를 한 1명의 환자에서 술후 32개월 때 자연임신으로 질식분만을 하였다.

경계성 난소종양, 복강경, 수술적 방법