Successful laparoscopic removal of huge ovarian cysts.

Laparoscopic management of huge adnexal masses is controversial mainly because of the fear of finding a malignancy and because of technical difficulties. We successfully removed two huge ovarian cysts using only an operative laparoscope, a 10-mm infraumbilical, and three 5-mm suprapubic cannulas. We believe that minimally invasive surgery can be performed safely and effectively in carefully selected patients with extremely large, abdominopelvic masses.