LAUSR

Study Objective To demonstrate a successful example of performing a laparoscopic ovarian cystectomy of a large 32 cm benign pelvic cyst to avoid increased morbidity involved with typical exploratory laparotomy approach for this size mass. This video highlights minimally invasive techniques including how to enter laparoscopically with primary trocar placement directed into the cyst, demonstrates safe retroperitoneal dissection to perform cystectomy, and reviews tissue extraction for a large pelvic cyst. Design A 6-minute video reviewing step-by-step demonstration of a laparoscopic ovarian cystectomy of a large, simple, 32 cm pelvic cyst. Setting Surgery was performed in an outpatient surgical operating room with the patient under general anesthesia, positioned in low lithotomy with both arms tucked along her sides. Patients or Participants 31-year-old nulligravid female with no significant past medical or surgical history presented with a large 32 cm simple ovarian cyst with no concerning signs or objective data consistent with malignancy. Interventions Successful resection and removal of a 32 cm simple ovarian cyst via laparoscopy Measurements and Main Results N/A Conclusion Laparoscopic ovarian cystectomy can be considered as a feasible approach for young females with a large simple adnexal cyst and no concerning signs or objective data consistent with malignancy. With adequate training and appropriate patient selection, a minimally invasive procedure would typically result in faster recovery time and less morbidity for a patient compared to the standard exploratory laparotomy approach.