Massive, benign, cystic ovarian tumors: A technical modification for minimally invasive resection

Technical report describing a modified surgical approach for large benign ovarian cysts in children that combines controlled cyst decompression with minilaparotomy to enable ovarian-sparing resection while minimizing intraperitoneal spillage. The technique offers an alternative to traditional laparoscopy for cases where tumor size makes standard minimally invasive approaches impractical.