laparoscopic management of large adnexal masses

Background: adnexal mass is one of the most common gynecologic diseases among women of all ages. methods: in this cross-sectional study, we enrolled 126 patients with large adnexal masses ( 10 cm) managed by laparoscopic surgery during 2013 - 2020. the rates of intraoperative complications, conversion to open surgery, and incidence of cancer were assessed. results: mean mass size was 15.085.03 in all participants without significant difference based on the tumor type (p = 0.624). mean age and operation time were higher in the malignant type compared to the benign type (p< 0.001). type of surgery and frequency of intraoperative complications were also different among patients with different tumor types (p < 0.001 and p = 0.816, respectively). conclusions: our study showed that large adnexal tumors can be operated by laparoscopic approach, while the most important factor for increased surgical complications and duration was malignancy.