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KMID : 0358420170600010032
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Korean Journal of Obstetrics and Gynecology
2017 Volume.60 No. 1 p.32 ~ p.38
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Single port access laparoscopic surgery for large adnexal tumors: Initial 51 cases of a single institute
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Cho Bo-Ra
Han Jae-Won
Kim Tae-Hyun
Han Ae-Ra
Hur Sung-Eun
Lee Sung-Ki
Kim Chul-Jung
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Abstract
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Objective: Investigation of initial 51 cases of single port access (SPA) laparoscopic surgery for large adnexal tumors and evaluation of safety and feasibility of the surgical technique.
Methods: We retrospectively reviewed the medical records of the first 51 patients who received SPA laparoscopic surgery for large adnexal tumors greater than 10 cm, from July 2010 to February 2015.
Results: SPA adnexal surgeries were successfully completed in 51 patients (100%). The mean age, body mass index of the patients were 43.1 years and 22.83 kg/m2, respectively. The median operative time, median blood loss were 73.5 (range, 20 to 185) minutes, 54 (range, 5 to 500) mL, and the median tumor diameter was 13.6 (range, 10 to 30) cm. The procedures included bilateral salpingo-oophorectomy (n=18, 36.0%), unilateral salpingo-oophorectomy (n=14, 27.45%), and paratubal cystectomy (n=1, 1.96%). There were no cases of malignancy and none were insertion of additional ports or conversion to laparotomy. The cases with intraoperative spillage were 3 (5.88%) and benign cystic tumors. No other intraoperative and postoperative complications were observed during hospital days and 6-weeks follow-up period after discharge.
Conclusion: Our results suggest that SPA laparoscopic surgery for large adnexal tumors may be a safe and feasible alternative to conventional laparoscopic surgery.
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KEYWORD
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Laparoendoscopic single-site surgery, Laparoscopic assisted surgery, Minimally invasive surgery, Ovary, Single port
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