Laparoscopic ovarian cystectomy using a single umbilical puncture method

To establish a minimally invasive technique to perform ovarian cystectomy, the authors applied a single umbilical puncture method. A 2-month old femal e infant was admitted to the hospital because of an ovarian cyst that showe d no spontaneous shrinkage after her birth. An umbilical semicircular incis ion was made to insert a 10-mm trocar, into which a 3-mm laparoscope was in serted. The ovarian cyst was grasped using forceps inserted through an oper ating channel of the scope, and the cyst was removed through the incision. After aspiration of the cyst, the free cyst wall was resected, leaving the intact ovarian tissue. The operation was performed without difficulty or co mplication. The postoperative course was uneventful. The wound was inconspi cuous, and the result was cosmetically excellent. The case demonstrated the feasibility of the minimally invasive technique using a single umbilical p uncture for ovarian cystectomy in an infant.