Ovarian cysts and other noncancerous (benign) growths can usually be removed through a small incision (laparoscopy). But experts sometimes disagree over whether to use laparoscopy or a larger abdominal incision (laparotomy) to investigate suspected ovarian cysts.
Surgery through a large abdominal incision (laparotomy) is more likely to be recommended when:
Ovarian cancer requires surgical removal by laparotomy. This allows the surgeon to carefully remove all possible cancer.
It can be difficult to tell the difference between an ovarian cancer and an ovarian cyst before surgery. Should a laparoscopic surgery reveal signs of possible cancer, the surgeon then makes a larger incision.
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