Single-port access total laparoscopic hysterectomy with Korean-made OCTO Port: Turkish surgeons’ initial experience

Abstract

We present our initial experience with single-port access total laparoscopic hysterectomy (TLH) surgery using a Korean-made laparoscopic port (OCTO™ Port). In a retrospective study, single-port access TLH (SPA-TLH) with the OCTO Port was performed on 34 patients with benign gynaecological indications from July 2013 to May 2014 by two surgeons (Ahmet Kale and Hasan Terzi). All patients were divided into two groups. The first 15 patients who underwent SPA-TLH were classified as Group 1, and the second 19 patients who underwent SPA-TLH were classified as Group 2. Patient data were analyzed for age, body mass index (BMI, kg/m(2)), weight of uterus, vaginal cuff suturation time, estimated blood loss, operation time, hysterectomy indications and operative outcomes. The median time needed for the surgery was 75 min in both groups. The duration of suturing of the vaginal cuff was shorter in Group 2 compared with that in Group 1. The estimated blood loss was less in Group 2 compared with Group 1: Four patients in Group 1 required blood transfusion while none of the patients in Group 2 required blood transfusion. The OCTO Port has soft and flexible instrumental movements, which can reduce crowding of instruments during surgery, and the cap rotates 360 degrees. The OCTO Port might facilitate the learning curve of single-port laparoscopic hysterectomy surgery.

Newly Developed Laparoscopic Needle Holder That Facilitates Knot Tying Makes Vaginal Cuff Suturing Easy in Single-Port Laparoscopic Hysterectomy

“…All procedures were performed by the same surgical team according to a previously described technique. 6 The details of procedures are summarized next.…”

Laparoendoscopic Single Site Total Hysterectomy: Single Institution Initial Experience

“…In one of these studies, LESS-TH was performed in endometrial cancer cases. 3,7,13,[15][16][17][18] In another study, the same procedure was used for the treatment of benign and malignant uterine pathologies. Jung et al reported that the mean operation time was 89 min.…”

“…Recently, innovations in the technology such as multi-channel single-port, articulating instruments, and flexible endoscopes have allowed laparoscopic surgeons to perform increasingly complex gynecological and gynecologic-oncologic operations. [2][3][4][5][6][7] A recent systematic review by Mencaglia et al identified 65 studies (17 case reports, 32 cases studies, 13 retrospective comparative studies and three randomized clinical trials) and reported that LESS is safe and feasible for most benign gynecologic surgeries. 8 A randomized clinical trial that evaluated LESS compared to conventional laparoscopic-assisted vaginal hysterectomy reported significant decreases in post-operative pain and analgesic use in the LESS-assisted vaginal hysterectomy group.…”

“…[9][10][11][12] There are fewer studies in the literature on LESS -TH than on LESS-assisted vaginal hysterectomy. 3,7,13 In this study, we present our experience on total hysterectomy with LESS and make a retrospective comparative analysis of the surgical outcomes for LESS-TH and conventional TLH.…”