Single port access laparoscopic adnexal surgery versus conventional laparoscopic adnexal surgery: a comparison of peri-operative outcomes

Lee, Yoo-Young; Kim, Tae-Joong; Kim, Chul-Jung; Park, Hwang Shin; Choi, Chel Hun; Lee, Jeong‐Won; Lee, Je‐Ho; Bae, Duk-Soo; Kim, Byoung-Gie

doi:10.1016/j.ejogrb.2010.03.010

Cited by 97 publications

(79 citation statements)

References 19 publications

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“…Because of these potential advantages, minimally invasive surgery using this SPA system has been applied to common gynecologic surgeries, including hysterectomy and adnexal surgery [3][4][5] . However, SPA surgery has systemic limitations, such as a collision between instruments or between instruments and endoscope, a limited number of instruments, and the limited mobility of straight laparoscopic instruments because surgical instruments work through only one port.…”

Section: Introductionmentioning

confidence: 99%

Learning Curve and Surgical Outcome for Single-Port Access Total Laparoscopic Hysterectomy in 100 Consecutive Cases

Paek

Kim

Lee

et al. 2011

Gynecol Obstet Invest

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Aims: To define the learning curve for single-port access (SPA) total laparoscopic hysterectomy (TLH) and evaluate the surgical outcomes. Methods: Patient demographics and segmental operating times of all 100 patients who underwent SPA-TLH by a single surgeon were analyzed. Patients were arranged in order based on surgery date. Results: 100 patients underwent SPA-TLH. There was no conversion to conventional laparoscopy or laparotomy. The median time until the removal of a specimen (TR) was 45 min and the median time for closure of the vaginal cuff (TC) was 18 min. The median total operating time from skin opening to closure (TO) was 80 min. TR, TC, and TO decreased significantly over the study period. The TC decreased significantly from the first 20 cases to the next 20 (p = 0.028) and the TO from the second 20 cases to the next 20 (p = 0.029). Conclusions: Proficiency for SPA-TLH was achieved after 40 cases. Operating time and postoperative hemoglobin drop decreased with experience, without increasing complication.

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Section: Introductionmentioning

confidence: 99%

Learning Curve and Surgical Outcome for Single-Port Access Total Laparoscopic Hysterectomy in 100 Consecutive Cases

Paek

Kim

Lee

et al. 2011

Gynecol Obstet Invest

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“…Single port laparoskopide denilen Laparoendoskopic singlesite surgery (LESS), tek bir cilt insizyonundan multipl işlem kanalı sağlayan yeni bir tekniktir. Gebe kadınlarda LESS kullanımı ile ilgili birkaç yayın vardır (34)(35)(36)(37). LESS tekniğinin gebelerde kullanılmasının önerilmesi için daha ileri çalışmalara ihtiyaç vardır.…”

Section: Zamanlamaunclassified

Laparoscopic Surgery in Pregnat Women (Review)

Külhan¹,

Kulhan²,

Ulug³

2017

Van Med J

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“…There are some published reports of SPA laparoscopy utilized to treat benign gynecologic disorders. 47 However, there are few reports on the use of SPA laparoscopy in gynecologic cancers. For now, SPA is considered for risk-reducing salpingo-oophorectomy, total hysterectomy for precancerous lesions, and staging operation for early stage ovarian/endometrial cancer.…”

Section: One-port Surgery Tae-joong Kimmentioning

confidence: 99%

Asian society of gynecologic oncology workshop 2010

et al. 2010

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and was organized to promote the academic environment and to enhance the communication among Asian countries prior to the 2nd biennial meeting of Australian Society of Gynaecologic Oncologists (ASGO), which will be held on November 3-5, 2011. We summarized the whole contents presented at the workshop. Regarding cervical cancer screening in Asia, particularly in low resource settings, and an update on human papillomavirus (HPV) vaccination was described for prevention and radical surgery overview, fertility sparing and less radical surgery, nerve sparing radical surgery and primary chemoradiotherapy in locally advanced cervical cancer, were discussed for management. As to surgical techniques, nerve sparing radical hysterectomy, optimal staging in early ovarian cancer, laparoscopic radical hysterectomy, one-port surgery and robotic surgery were introduced. After three topics of endometrial cancer, laparoscopic surgery versus open surgery, role of lymphadenectomy and fertility sparing treatment, there was a special additional time for clinical trials in Asia. Finally, chemotherapy including neo-adjuvant chemotherapy, optimal surgical management, and the basis of targeted therapy in ovarian cancer were presented.

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Single port access laparoscopic adnexal surgery versus conventional laparoscopic adnexal surgery: a comparison of peri-operative outcomes

Cited by 97 publications

References 19 publications

Learning Curve and Surgical Outcome for Single-Port Access Total Laparoscopic Hysterectomy in 100 Consecutive Cases

Learning Curve and Surgical Outcome for Single-Port Access Total Laparoscopic Hysterectomy in 100 Consecutive Cases

Laparoscopic Surgery in Pregnat Women (Review)

Asian society of gynecologic oncology workshop 2010

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