Laparoscopic Ovarian Cystectomy

What is a cystectomy?

A cystectomy is a procedure that removes a non-cancerous ovarian cyst or mass.

Why is a cystectomy performed?

The procedure can confirm the diagnosis of an ovarian cyst and remove the cyst that is causing issues. There are different reasons for carrying out a cystectomy, including:

• Cysts or masses in the two ovaries

• A cyst bigger than 3 inches

• A cyst that does not resolve for more than 3-6 months

• A cyst that causes pain

• Cysts that are solid, instead of containing liquid

• An ultrasound indicates problems with a cyst

What happens during a cystectomy?

There are two ways to perform the procedure, depending on the size and ultrasound appearance of the cyst or mass. Both are performed under general anesthesia

If the cyst is small and is believed to be benign, the doctor could choose to perform a laparoscopic procedure. A small incision is made in the navel area and carbon dioxide is introduced to lift the abdominal wall and create more space for the procedure. Small incisions are made to introduce a laparoscope (camera) and the instruments your surgeon uses to remove the cyst.

If the cyst is larger or there is reason to suspect cancer, your surgeon may choose to perform a laparotomy. For this procedure, larger incisions are made in the abdomen. These allow for removal of the cyst and possibly the affected ovary, uterus, fallopian tubes, fatty tissue called the omentum and surrounding lymph nodes, if necessary.

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