Laparoscopy Versus Laparotomy for Pediatric Ovarian Dermoids
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Read the article on jpedsurg.org ↗Article · Feb 2022 · 1 min read
In brief
In brief
Multi-institutional retrospective study of 466 pediatric patients found laparoscopic resection of ovarian dermoids resulted in shorter hospital stays compared to laparotomy, with no difference in tumor spillage rates or complications. 65% of cases achieved ovarian preservation regardless of surgical approach.
Written by the GCMD Library team from the article.
Background With increased surgeon comfort using laparoscopy, we hypothesized resection of pediatric ovarian dermoids using laparoscopy would yield a shorter length of stay and no increase in morbidity or recurrence compared to laparotomy.
Methods A retrospective review was performed amongst eleven pediatric hospitals. Patients aged 2 to 21 who underwent resection of an ovarian dermoid from 2010-2020 were included. Patient characteristics, operative details, and outcomes by approach were evaluated using Chi-squared and Wilcoxon-Mann tests.
Results 466 patients were included, with a median age of 14.4 and median follow-up of 4.0 months. 279 patients underwent laparoscopy (60%), 139 laparotomy (30%), and 48 laparoscopy converted to laparotomy (10%). There were no differences in rates of tumor spillage by approach (p=0.15). 65% underwent ovarian-sparing surgery and 35% underwent oophorectomy. Length of stay was significantly shorter amongst patients who underwent laparoscopy (1 day versus 2 days for laparotomy and converted, p