Rezumat: For the last decades laparoscopy proved itself as valuable
tool for gynecological pathology management. The
objective of this paper is to highlight the advantages
of laparoscopy both in the diagnosis as for therapeutic
management of ovarian tumors. The choice of surgical
approach depends on the suspicion of malignancy,
the surgeon and patient options. According to current
literature, it is the first line approach for ovarian pathology
with low risk of malignancy after applying ultrasound
and biochemical scores. Initial exploratory laparoscopic
approach is justified also in menopause when there is
an increased necessity for surgery in order to rule out
malignancy. A benign anexial mass or very likely to
be benign can be treated by laparoscopic cystectomy
before premenopausal and through adnexectomy
postmenopausal time. Whenever malignancy is very likely,
a laparotomy is mandatory. In conclusion, laparoscopic
surgery is the first line choice for ovarian mass, due
to undeniable advantages: minimal postoperative
pain, quick recovery, low infection risk, reduced
postoperative complications and prognosis of ovarian
optimally. Rigorous and accurate selection of cases
leads to success through laparoscopic interventions. Cuvinte cheie: cystectomy, anexectomy, benign, malignant.