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Single port transumbilical laparoscopic surgery for adnexal lesions: a single center experience in Korea.

Authors
Jung, YW; Choi, YM; Chung, CK; Yim, GW; Lee, M; Lee, SH; Paek, JH; Nam, EJ; Kim, YT; Kim, SW
Citation
European journal of obstetrics, gynecology, and reproductive biology, 155(2):221-224, 2011
Journal Title
European journal of obstetrics, gynecology, and reproductive biology
ISSN
0301-21151872-7654
Abstract
OBJECTIVES: The purpose of this study was to demonstrate the feasibility of single port transumbilical laparoscopic surgery (SPLS) for the treatment of adnexal lesions.



METHODS: We have performed SPLS to treat adnexal lesions using a single three-channel port system with a wound retractor and surgical glove since October 2008. All patients who underwent SPLS for adnexal lesions between October 2008 and September 2009 were included in the study. We retrospectively reviewed their medical records and analyzed demographic data and surgical outcomes including age, medico-surgical illness, surgical indications, operative times and pathologic results.



RESULTS: Eighty-six patients underwent SPLS for adnexal lesions. The median age of the patients was 31 years (range 14-78 years), the median body mass index was 21.0 kg/m(2) (range 16.7-32.2 kg/m(2)), and the median operation time was 64.5 min (range 21-176 min). The median blood loss was 10 ml (range 10-300 ml). The median length of postoperative hospital stay was 2 days (range 1-7 days). Endometriosis was the most frequently diagnosed etiology (34.9%). Other laparoscopic approaches were employed in two cases (2.3%). There were four cases (4.7%) with complications: three with pelvic infections and one with postoperative hemorrhage.



CONCLUSIONS: SPLS is a feasible approach for the treatment of adnexal lesions.
MeSH terms
Adnexal Diseases/pathology/*surgeryAdolescentAdultAgedBlood Loss, SurgicalBody Mass IndexEndometriosis/pathology/surgeryFeasibility StudiesFemaleHumansLaparoscopy/adverse effects/*instrumentation/*methodsLength of StayMedical RecordsMiddle AgedPostoperative ComplicationsRepublic of KoreaRetrospective StudiesTime FactorsTreatment OutcomeUmbilicusYoung Adult
DOI
10.1016/j.ejogrb.2010.12.011
PMID
21236555
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Obstetrics & Gynecology
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백, 지흠
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