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Ovarian cysts are a common gynecological finding, particularly in women of reproductive age. During pregnancy, these cysts present unique challenges, as the physiological changes of gestation can mask symptoms, increase the risk of complications such as torsion or rupture, and conversely, the presence of an ovarian cyst can adversely affect pregnancy outcomes, including threatened miscarriage or premature birth. The optimal management, particularly the choice between laparoscopic and open surgery and the ideal timing for intervention, remains a subject of considerable debate in obstetric and gynecological practice. Given the ongoing advancements in minimally invasive surgical techniques, understanding the current efficacy and safety of laparoscopic surgery for ovarian cysts in pregnant women is crucial for improving maternal and fetal outcomes.

Obstetricians, gynecologists, surgeons, researchers in maternal-fetal medicine, and medical trainees in related fields.

This retrospective, cross-sectional study, conducted from June 2021 to June 2024 at Nghe An Obstetrics and Pediatrics Hospital, aimed to evaluate the outcomes of laparoscopic surgery for ovarian cysts in pregnant women. The study enrolled 69 pregnant women diagnosed with ovarian cysts who underwent the surgical procedure. The methodology involved analyzing clinical characteristics and surgical results, including gestational age at surgery, tumor size, and postoperative complications. A key finding was the 100% success rate of endoscopic surgery, with no cases requiring conversion to open surgery and no reported miscarriage complications. The average patient age was 27.9 years, and the most frequent gestational age for intervention was between 13 and 18 weeks. Notably, 97.1% of patients had their ovarian function preserved. While ovarian tumors were predominantly identified and operated on in pregnancies less than 12 weeks (82.3%), the study highlights that with advanced laparoscopic techniques, the procedure can be safely performed across a wider gestational window, from as early as 7 weeks in cases of torsion without fetal impact, to up to 28 weeks. This demonstrates the enhanced safety and efficacy of modern minimally invasive surgery. The study's implications are significant for obstetric care, affirming laparoscopic surgery as a highly effective and safe treatment option that minimizes patient morbidity and accelerates recovery, thus providing a valuable alternative to traditional open procedures and improving overall maternal and fetal outcomes.