Single port access laparoscopic surgery for large adnexal tumors: Initial 51 cases of a single institute
Obstetrics & Gynecology Science
;
: 32-38, 2017.
Article
in English
| WPRIM
| ID: wpr-34449
ABSTRACT
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.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Ovary
/
Postoperative Complications
/
Body Mass Index
/
Cystectomy
/
Medical Records
/
Retrospective Studies
/
Follow-Up Studies
/
Laparoscopy
/
Minimally Invasive Surgical Procedures
/
Operative Time
Type of study:
Observational study
/
Prognostic study
Limits:
Female
/
Humans
Language:
English
Journal:
Obstetrics & Gynecology Science
Year:
2017
Type:
Article
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