Cystotomy--for facilitation of optimal resection of adherent pelvic tumors.

Optimal resection of pelvic tumor was facilitated by cystotomy in one patient with a benign and five patients with malignant adherent pelvic tumors. Four of the five patients with malignant tumors had recurrent or persistent carcinoma of the ovary. Blood loss and surgical duration were acceptable and there were no postoperative complications. Cystotomy is a relatively easy and safe procedure and is recommended when optimal resection of adherent pelvic tumor is attempted.