Single-Incision Single-Instrument Adnexal Surgery in Pediatric Patients

Table 4

Breakdown of clinical and pathology characteristics of patients with malignant or premalignant lesions (4.7% of total patients).

Patient number	Age (yrs)	Weight (kg)	Timing of operation	Initial operative approach	Final operative approach	Reason for change	OR time (hr:min)	Side of pathology	Reason for operation	Final surgical pathology
3	17.8	105	Urgent	SISI	Multiport laparoscopy	Solid mass	1:51	Right	Hirsutism, solid mass	Sex cord stromal tumor
57	15.5	88.2	Elective	SISI	Multiport; laparoscopy	Unable to mobilize	1:31	Right	Cyst > 5 cm	Low grade mucinous tumor of ovary
66	13.9	50	Urgent	Multiport; laparoscopy	Multiport; laparoscopy	No change	2:10	Left	Pain, solid mass	Yolk sac tumor
99	17.2	48	Urgent	Midline	Midline	No change	1:38	Right	Bowel obstruction, solid mass	Burkitt lymphoma
117	16.7	61	Urgent	Midline	Midline	No change	1:47	Right	Bowel obstruction, solid mass	Dysgerminoma
126	3.8	19.2	Urgent	Midline	Midline	No change	1:05	Right	Pain, solid mass	Sex cord stromal tumor
144	15.2	93	Elective	Midline	Midline	No change	2:15	Right	Ascites, pleural effusions, solid mass	Sex cord stromal tumor
163	14.2	38.7	Elective	Multiport; laparoscopy	Multiport; laparoscopy	No change	0:55	Bilateral	Turner syndrome, virilization	Dysgenetic gonads
198	11.9	33.5	Urgent	Pfannenstiel	Pfannenstiel	No change	0:33	Left	Cyst > 5 cm, solid mass	Immature teratoma
215	2.9	16.8	Elective	Multiport; laparoscopy	Multiport; laparoscopy	No change	1:03	Right	Precocious puberty, solid mass	Steroid-producing ovarian tumor
220	14.4	53.6	Urgent	Pfannenstiel	Pfannenstiel	No change	1:08	Left	Cyst > 5 cm	Borderline cystic mucinous tumor
270	8.6	32	Elective	Pfannenstiel	Pfannenstiel	No change	0:59	Left	Solid mass	Immature teratoma