To the Editor:The laparoscopic management of a giant ovarian cyst was reported by M.S. Dolan et al[1] in the April-June 2006 issue of the journal. The ovarian cystic mass measured 22.5x3x40 cm and was decompressed via minilaparatomy removing 15 liters of fluid. Pathology examination revealed a mature cystic teratoma. A laparoscopic left oophorectomy was performed. The authors stated, “the ovarian cyst reported on herein is the largest intraabdominal cyst managed laparoscopically reported to date.” The statement is incorrect. We reported the laparoscopic removal of a 103-pound ovarian cyst in 1996.[2] We removed a 103-pound ovarian mucinous cystadenoma from a 22-year-old woman by using a small intraumbilical incision (2 cm) to drain 70 liters of fluid (97 lbs), and an operative laparoscope. A right salpingo-oophorectomy and appendectomy were also performed. The combined weight of the excised cyst and cyst fluid was 103 lbs.Although we agree with the authors that the large ovarian cysts can be managed laparoscopically or with laparoscopically assisted minilaparotomy, we were disappointed that the authors did not give us the credit for reporting first the laparoscopic removal of the largest ovarian cyst to date.Incidentally, for the last 5 years we have been successfully using a modified minilaparotomy technique for the removal of very large ovarian cysts that has eliminated the need for laparoscopy.[3]