{
  "abstract": "Objectives: To explore the surgical experience and clinical value of laparoscopic exploration with one-stage ovarian tumor enucleation and oophoroplasty for ovarian tumor pedicle torsion in children and adolescents. Methods: A retrospective analysis was conducted on the clinical data of 105 cases of ovarian torsion managed at the Department of Oncological Surgery, Children’s Hospital, Zhejiang University School of Medicine from 1 January 2019 to 1 June 2025. All patients underwent emergency laparoscopic exploration with one-stage ovarian tumor enucleation and oophoroplasty. Postoperative ovarian Doppler ultrasound follow-up was performed at 1–3 months, 3–6 months, 6–12 months, and over 12 months, comparing the ovarian volume of the affected side with that of the contralateral ovary. Results: This study included 105 cases of ovarian tumor pedicle torsion. The patients ranged in age from 11 months to 14 years, with a median age of 8 years. The surgery was successfully completed in all 105 cases. Ovarian survival was achieved in 103 cases (98.09%), postoperative ovarian necrosis occurred in 1 case (0.95%), and the affected ovary and fallopian tube were removed due to malignant tumor in 1 case (0.95%); the overall complication rate was 13.3% (14/105). Comparison of ovarian volume between the affected side and the contralateral ovary at each postoperative follow-up time point: at 1–3 months postoperatively, the volume was 3.28 (1.33, 7.71) cm3 vs. 3.43 (1.38, 5.92) cm3 (p = 0.301); at 3–6 months postoperatively, the volume was 1.28 (0.76, 6.09) cm3 vs. 2.67 (1.23, 6.24) cm3 (p = 0.169); at 6–12 months postoperatively, the volume was 3.37 (2.04, 6.66) cm3 vs. 4.37 (2.02, 6.28) cm3 (p = 0.092); at more than 12 months postoperatively, the volume was 4.07 (1.10, 5.04) cm3 vs. 5.60 (1.02, 9.85) cm3 (p = 0.090). At all follow-up time points, the comparison of ovarian volume between the affected side and the contralateral ovary showed no statistically significant difference (all p > 0.05). Conclusions: Emergency laparoscopic exploration with concurrent tumor enucleation and oophoroplasty for ovarian tumor pedicle torsion in children and adolescents is safe and feasible. It reduces the need for a second surgery and effectively preserves ovarian tissue on the affected side.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Surgical Oncology, Children’s Hospital, Zhejiang University School of Medicine, Hangzhou 310009, China",
    "National Clinical Research Center for Children and Adolescents’ Health and Diseases, Hangzhou 310009, China"
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 6,
  "authors": [
    {
      "affs": [
        0,
        1
      ],
      "name": "Ming Liu"
    },
    {
      "affs": [
        0,
        1
      ],
      "name": "Jinwen Meng"
    },
    {
      "affs": [
        0,
        1
      ],
      "name": "Xiongwei Wu"
    },
    {
      "affs": [
        0,
        1
      ],
      "name": "Jiabin Cai"
    },
    {
      "affs": [
        0,
        1
      ],
      "name": "Min He"
    },
    {
      "affs": [
        0,
        1
      ],
      "name": "Jinhu Wang",
      "orcid": "0000-0002-7749-2475"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/0df619m99r41v.bib",
  "cited_by": 0,
  "doi": "10.3390/jcm15208007",
  "fulltext_url": "https://europepmc.org/articles/PMC13705789",
  "id": "0df619m99r41v",
  "issns": [
    "2077-0383"
  ],
  "landing_url": "https://www.mdpi.com/2077-0383/15/20/8007",
  "language": "eng",
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2729|Gynecological conditions and treatments"
    ]
  ],
  "openalex": "W7222356672",
  "pdf_url": "https://europepmc.org/articles/PMC13705789?pdf=render",
  "pmcid": "PMC13705789",
  "pmid": "42941521",
  "published": "2026-10-15",
  "publisher": "MDPI AG",
  "ris": "https://research.draconitic.com/paper/0df619m99r41v.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:20:00Z",
      "native_id": "10.3390/jcm15208007",
      "source": "crossref",
      "url": "https://www.mdpi.com/2077-0383/15/20/8007"
    },
    {
      "first_seen": "2026-10-30T12:22:12Z",
      "native_id": "MED:42941521",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42941521"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2729|Gynecological conditions and treatments",
      "subfield": "reproductive-child"
    }
  ],
  "title": "Laparoscopic-Assisted Ovary-Sparing Surgery for Ovarian Torsion in Children and Adolescents: A Single-Center 6.4-Year Retrospective Analysis",
  "title_text": "Laparoscopic-Assisted Ovary-Sparing Surgery for Ovarian Torsion in Children and Adolescents: A Single-Center 6.4-Year Retrospective Analysis",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:22:12Z",
  "url": "https://research.draconitic.com/paper/0df619m99r41v",
  "venue": "Journal of Clinical Medicine",
  "versions": []
}