Single-Port Transumbilical Laparoscopic-Assisted Adnexal Surgery

Kim, Woochul; Im, Kyoung-Shil; Kwon, Young-Soon

doi:10.4293/108680811x13071180406510

Cited by 23 publications

(11 citation statements)

References 10 publications

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“…Many authors have attempted to develop appropriate surgical methods for huge ovarian cysts (Table 4). Some authors used surgical methods combined with LESS surgery to decrease tumor volume, as well as with extracorporeal approaches to completely remove cysts 101112. Yi11 reported no conversion to laparotomy in their 3 cases.…”

Section: Discussionmentioning

confidence: 99%

“…Yi11 reported no conversion to laparotomy in their 3 cases. Kim, et al12 used surgical techniques combined with LESS surgery and reported a mean tumor diameter, cyst content spillage rate, and conversion rate of 11.9 cm, 9.1%, and 4.5%, respectively. Song, et al10 also used combined surgical treatment and reported a mean tumor diameter, cyst content spillage rate, and conversion rate of 21.1 cm, 9.5%, and 4.7%, respectively.…”

Section: Discussionmentioning

confidence: 99%

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Laparoendoscopic Single Site Surgery for the Treatment of Huge Ovarian Cysts Using an Angiocatheter Needle

Park

Jeong

et al. 2019

Yonsei Med J

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Purpose The aim of this study was to evaluate the feasibility and safety of laparoendoscopic single site (LESS) surgery using an angiocatheter needle in patients with huge ovarian cysts (diameter ≥15 cm). Materials and Methods Thirty-one patients with huge ovarian cysts underwent LESS surgery using an angiocatheter needle between March 2011 and August 2016. An intra-umbilical vertical incision (1.5–2.0 cm) was made in the midline. After the cyst wall was punctured using an angiocatheter needle, the fluid contents were aspirated with a connected vacuum aspirator. After placing a Glove port in the umbilical incision, LESS surgery was performed using a rigid 0-degree, 5-mm laparoscope and conventional, rigid, straight laparoscopic instruments. Knife-in-bag morcellation was instituted for specimen collection. Results The median maximal diameter of ovarian cysts was 18 cm (range, 15–30 cm), the median operation time was 150 minutes (range, 80–520 minutes), and the median volume of blood loss was 100 mL (range, 20–800 mL). Three patients (9.7%) were diagnosed with malignant ovarian cancer using intraoperative frozen examination, and 1 patient was converted to laparotomy due to advanced disease. Thirty patients underwent LESS, and there was no need for an additional laparoscopic port. Conclusion LESS surgery using an angiocatheter needle, with leaving only a small postoperative scar, was deemed feasible for the management of huge ovarian cysts.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Laparoendoscopic Single Site Surgery for the Treatment of Huge Ovarian Cysts Using an Angiocatheter Needle

Park

Jeong

et al. 2019

Yonsei Med J

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“…Some suggest that proper management for adnexal tumors larger than 8 to 10 cm in size is laparotomy [ 5 6 ]. Recently, several studies have reported the surgical outcomes of SPA laparoscopic surgery for the management of adnexal tumors [ 7 8 9 10 ], however these reports usually excluded large ovarian cyst.…”

Section: Discussionmentioning

confidence: 99%

Single port access laparoscopic surgery for large adnexal tumors: Initial 51 cases of a single institute

et al. 2017

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ObjectiveInvestigation 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.MethodsWe 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.ResultsSPA 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.ConclusionOur results suggest that SPA laparoscopic surgery for large adnexal tumors may be a safe and feasible alternative to conventional laparoscopic surgery.

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“…Extracting a giant ovarian cyst without any spillage is very important for prophylaxis of chemical peritonitis and inhibition of upstaging in cases of malignancy. Giant ovarian cystectomy can be performed transumbilically after aspiration , but micro leakage might occur with this method. Our case involved a giant ovarian teratoma in a 50‐year‐old patient, and an advance age and the size of the teratoma are risk factors of malignant transformation, even when tumor markers and MRI are not indicative of malignancy.…”

Section: Discussionmentioning

confidence: 99%

Laparoendoscopic single‐site concomitant surgery for gallstones and a giant ovarian teratoma

Fujimoto

Osuga

Sakurabashi

et al. 2013

Asian J Endoscop Surgery

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Laparoendoscopic single-site (LESS) technique has gained popularity in several fields of surgery. Our patient had multiple gallstones and a left ovarian mature cystic teratoma 12 cm in diameter. She underwent concomitant laparoscopic cholecystectomy and adnectomy using LESS technique. Using a transient gasless technique resulted in the extraction of a giant ovarian tumor through the umbilical incision with no leakage into the abdominal cavity. Concomitant LESS surgery is feasible and has many benefits both for patients and doctors - cosmetics, possibly less pain, avoidance of multiple surgeries and cost-effectiveness. LESS technique is also useful for extracting a giant tumor with the transient gasless technique. This novel method might be applied to the removal of a tumor suspicious for malignancy.

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Single-Port Transumbilical Laparoscopic-Assisted Adnexal Surgery

Abstract: Single-port transumbilical laparoscopic-assisted surgery for large, benign adnexal tumors was found to be a feasible alternative to conventional laparoscopic or open surgical methods.

Cited by 23 publications

References 10 publications

Laparoendoscopic Single Site Surgery for the Treatment of Huge Ovarian Cysts Using an Angiocatheter Needle

Laparoendoscopic Single Site Surgery for the Treatment of Huge Ovarian Cysts Using an Angiocatheter Needle

Single port access laparoscopic surgery for large adnexal tumors: Initial 51 cases of a single institute

Laparoendoscopic single‐site concomitant surgery for gallstones and a giant ovarian teratoma

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