Laparoscopic Surgery Versus Abdominal Surgery for Ovarian Cysts
Ovarian cysts and other noncancerous (benign) growths
can usually be removed through a small incision (laparoscopy).
But experts sometimes disagree over whether to use laparoscopy or a larger
abdominal incision (laparotomy) to investigate suspected
Some experts think laparoscopy may be appropriate
for women who have a low risk for ovarian cancer.
Laparoscopy may be an option if the ovarian cyst does not look like cancer and is small enough to be removed through a small incision.
Laparoscopy has fewer risks and a faster recovery
time than laparotomy.
Surgery through a large abdominal incision (laparotomy) is more
likely to be recommended when:
Masses are present in both
The ovarian mass is larger than
3 in. (7.6 cm).
Other tests, such as an ultrasound exam or Doppler
flow studies, suggest that the mass is not a simple functional
Cancer is suspected.
Ovarian cancer requires surgical removal by
laparotomy. This allows the surgeon to carefully remove all possible
It can be difficult to tell the difference between an ovarian cancer
and an ovarian cyst before surgery. Should a laparoscopic surgery reveal signs
of possible cancer, the surgeon then makes a larger incision.
How this information was developed to help you make better health decisions.