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Single port access laparoscopic surgery for large adnexal tumors: Initial 51 cases of a single institute
Obstetrics & Gynecology Science ; : 32-38, 2017.
Artigo em Inglês | 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.
Assuntos

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Ovário / Complicações Pós-Operatórias / Índice de Massa Corporal / Cistectomia / Prontuários Médicos / Estudos Retrospectivos / Seguimentos / Laparoscopia / Procedimentos Cirúrgicos Minimamente Invasivos / Duração da Cirurgia Tipo de estudo: Estudo observacional / Estudo prognóstico Limite: Feminino / Humanos Idioma: Inglês Revista: Obstetrics & Gynecology Science Ano de publicação: 2017 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Ovário / Complicações Pós-Operatórias / Índice de Massa Corporal / Cistectomia / Prontuários Médicos / Estudos Retrospectivos / Seguimentos / Laparoscopia / Procedimentos Cirúrgicos Minimamente Invasivos / Duração da Cirurgia Tipo de estudo: Estudo observacional / Estudo prognóstico Limite: Feminino / Humanos Idioma: Inglês Revista: Obstetrics & Gynecology Science Ano de publicação: 2017 Tipo de documento: Artigo