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. 2024 Jun 6;40(1):151.
doi: 10.1007/s00383-024-05734-9.

Surgical management of ovarian masses in children and adolescents: experience of an academic institution in France

Kamal El Haissoufi  1   2 , Anne Lehn  3 , Isabelle Chevalier  3 , Raphaël Moog  3 , François Becmeur  3 , Isabelle Talon  3
Affiliations

Surgical management of ovarian masses in children and adolescents: experience of an academic institution in France

Kamal El Haissoufi et al. Pediatr Surg Int. .

Abstract

Purpose: Surgical management of ovarian masses in girls still challenging. The aim of the study is to report an 8-year experience in managing children with ovarian masses, and to demonstrate the advantages and the limitations of laparoscopy for such lesions.

Methods: Data of girls aged less than 18 years operated because of an ovarian mass between January 2015 and February 2023 were retrospectively reviewed. Patients were divided into two groups: group A including children operated by laparoscopy, and Group B of patients who underwent open surgery.

Results: Eighty-eight children were enrolled. Laparoscopy was performed in 56 patients (63.6%). Group A patients had smaller tumor size (53.6±38.5 vs. 122.2±75.4 mm, P<0.0001), shorter operative time (50.4±20.3 vs. 71.5±36.5 min, P = 0.004), reduced length of hospital stay (1.4±1.1 vs. 3±2.3 days, P<0.0001), and absence of postoperative complications. Only 3 cases (5.7%) of recurrence were seen exclusively within patients followed for benign tumors during a mean follow-up period of 4.6±3 years.

Conclusion: Laparoscopy should be done in benign ovarian lesions or/and if a torsion is seen. For tumors at high risk of malignancy, laparoscopy can be performed to establish a clear macroscopic diagnosis, for staging of the disease, and resection of small tumors. Conversion to open surgery is indicated in case of doubt.

Keywords: Children; Laparoscopy; Outcomes; Ovary; Tumor.

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