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Overcoming technical difficulties with single-port access laparoscopic surgery in gynecology: using conventional laparoscopic instruments.

Authors
Paek, J; Nam, EJ; Kim, YT; Kim, SW
Citation
Journal of laparoendoscopic & advanced surgical techniques. Part A, 21(2):137-141, 2011
Journal Title
Journal of laparoendoscopic & advanced surgical techniques. Part A
ISSN
1092-64291557-9034
Abstract
AIM: The aim of this report was to investigate ways to overcome technical difficulties of the single-port access (SPA) laparoscopic surgery using conventional laparoscopic instruments in gynecology.



METHODS: We performed 140 cases of SPA total laparoscopic hysterectomy for benign gynecologic diseases and 40 cases of two-port access laparoscopic surgery for gynecologic cancers. The conventional laparoscopic instruments, including a 45-cm-long, 5-mm-diameter, 30-degree-angled laparoscope, a 90-degree light cable adaptor, a curved instrument, and nonbulky trocars, and intracorporeal suturing and tying technique were used.



RESULTS: All operations were laparoscopically completed with no conversion to conventional laparoscopy or laparotomy. We obtained tolerable surgical outcomes with these instruments.



CONCLUSIONS: As the technical difficulties have been overcome, the SPA laparoscopic surgery will be a more and more widespread procedure in the gynecologic field with only minimal skin incision.
MeSH terms
AdultCohort StudiesEquipment DesignFemaleGenital Diseases, Female/complications/pathology/*surgeryHumansLaparoscopesLaparoscopy/adverse effects/*instrumentation/methodsMiddle AgedRetrospective StudiesSuture TechniquesTreatment Outcome
DOI
10.1089/lap.2010.0313
PMID
21284515
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Obstetrics & Gynecology
AJOU Authors
백, 지흠
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