Surgical technique for single-port laparoscopy in huge ovarian tumors: SW Kim's technique and comparison to laparotomy

Kim, Jeong Sook; Lee, In Ok; Eoh, Kyung Jin; Chung, Yong Eun; Lee, Inha; Lee, Jung‐Yun; Nam, Eun Ji; Kim, Sung Hoon; Kim, Young Tae; Kim, Sang Wun

doi:10.5468/ogs.2017.60.2.178

Cited by 9 publications

(8 citation statements)

References 15 publications

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“…Thus, most surgeons usually prefer laparotomy for large ovarian tumors. Nevertheless, there have been several attempts to perform minimally invasive surgeries even with large ovarian tumors, and we previously reported a technique for removing large ovarian tumors without aspiration or rupture in single-port laparoscopic surgery [ 15 ]. By using a large endoscopic bag, such as a 30×30 cm or 50×50 cm endoscopic tissue retrieval bag, huge ovarian tumors could be removed without any tumor spillage or cystic fluid aspiration.…”

Section: Discussionmentioning

confidence: 99%

“…2B and C ). In the case of large tumors (longest diameter ≥15 cm), SW Kim’s technique was used to insert the tumors in a retrieval bag [ 15 ], the bag was retracted through the umbilicus, and the tumor was removed by aspirating and cutting it inside the bag. After hemostasis and irrigation, the Alexis wound retractor was removed and the umbilical fascia and subcutaneous layer were approximated with 1–0 and 2–0 Vicryl sutures (Ethicon, Piscataway, NJ, USA) [ 13 , 14 ].…”

Section: Methodsmentioning

confidence: 99%

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Comparison of single-port laparoscopy and laparotomy in early ovarian cancer surgical staging

et al. 2021

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Objectives The aims of this study were to assess the feasibility of single-port laparoscopic surgical staging (SPLS) in early ovarian cancer and to compare the surgical outcomes of SPLS with those of staging laparotomy. Methods Between January 2014 and December 2018, 40 patients underwent SPLS and 41 patients underwent staging laparotomy at Yonsei Cancer Center. The patients were diagnosed with International Federation of Gynecology and Obstetrics (FIGO) stage I ovarian cancer. Variables such as patient age, body mass index (BMI), tumor size, FIGO stage, and perioperative surgical outcomes and survival outcomes of SPLS and laparotomy were compared. Results The total operation time was similar between the 2 groups (SPLS: 201.4 vs. laparotomy: 203.0 minutes, P =0.806). The median tumor diameters in the SPLS and laparotomy groups were 11.0 (2.5–28 cm) and 15.4 (6–40 cm), respectively ( P =0.001). The SPLS group had lower tumor spillage rate (5.0% vs. 19.5%, P =0.047), less intraoperative blood loss (102.0 vs. 371.5 mL, P <0.001), less postoperative pain, and shorter postoperative hospital stay (5 vs. 9.5 days, P <0.001). The intraoperative major complication rate was similar between groups (2.5% vs. 4.9%, P =0.571). There was no significant difference in progression-free survival between the 2 groups ( P =0.945). There were no deaths in either group. Conclusion SPLS is feasible in early ovarian cancer and has better perioperative surgical outcomes, in some aspects, than staging laparotomy without compromising survival outcomes. SPLS could be performed in patients suspected to have early ovarian cancer.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Comparison of single-port laparoscopy and laparotomy in early ovarian cancer surgical staging

et al. 2021

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“…11 But due to limited resource and in under developed countries laparotomy is still used as gold standard treatment method and histopathology is gold standard mode of diagnosis in all cases. 9,18…”

Section: Discussionmentioning

confidence: 99%

“…Huge ovarian tumors are conventionally treated by elective laparotomies but now a days laparoscopic treatment are becoming gold standard for them. [9][10][11] Case Report: A 19-year-old unmarried female was referred to our Surgical Outpatient Department from the Gynecology and Obstetrics Outpatient Department for opinion.She had a history of gradually increasing abdominal swelling since 6 months. As the size of the swelling increased, the patient developed vague abdominal pain of dull aching character, more so in the left lower abdomen.…”

Section: Introductionmentioning

confidence: 99%

Giant Ovarian Tumor Presenting as a Huge Abdomino-Pelvic Mass in a Teenage Girl: A Case Report

Jamaluddin

Ahmed

2021

J. Bangladesh Coll. Phys.

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Ovarian cysts are common causes of lower abdominal pain and abdominal distention in females. While most of them are benign and rarely grow immensely to achieve a huge size, they may be neoplastic in origin, reaching enormous dimensions with minimum or without raising any symptoms.Here, we present an interesting case of a 19-year-old female,who presented with huge abdominal swelling and pain in whole abdomen from whom a 9.1 kg borderline mucinous ovarian cyst, occupying the whole abdominal cavity was removed. J Bangladesh Coll Phys Surg 2021; 39(2): 137-141

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“…After the suction of the fluid contents, the cyst is pulled out through the umbilicus, and the extracorporeal cystectomy is then performed, followed by an inspection of the whole peritoneal cavity and careful irrigation (20)(21)(22). The feasibility and safety of such LESS surgery for the treatment of very large ovarian cysts has been proved (22)(23)(24)(25). LESSextracorporeal (LESS-E) cystectomy has several advantages, including the ease of switching between extracorporeal and intracorporeal approaches, the low relative risk of spillage, and excellent cosmetic results (22).…”

Section: Introductionmentioning

confidence: 99%

Perioperative outcomes of laparoendoscopic single-site extracorporeal versus intracorporeal cystectomy for benign ovarian cysts: a retrospective cohort study based on propensity score matching

Tan¹,

Tang²,

Yao³

et al. 2021

Ann Transl Med

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Background: Ovarian cysts are the most common gynecological disease, and laparo-endoscopic single-site (LESS) cystectomy is a popular surgical procedure. A new laparoscopic technique combining the advantages of LESS surgery and open surgery has been introduced to treat large ovarian cysts. To our knowledge, no previous research has compared LESS-extracorporeal (LESS-E) cystectomy to LESS-intracorporeal (LESS-I) cystectomy. This study compared the perioperative results of LESS-E cystectomy and LESS-I cystectomy in the treatment of benign ovarian cysts.Methods: Two hundred eighty-eight cases of cystectomy from our institutional database were retrospectively reviewed. 1:1 propensity score matching (PSM) was performed to minimize bias due to any imbalanced baseline features between the 2 groups, which were matched in terms of age, body mass index, and the largest diameter of ovarian cysts. Seventy-nine cases were then selected from each group, and the perioperative outcomes of the 2 cohorts were analyzed. Results:The mean (standard deviation) largest diameter of ovarian cysts was 8.30 (3.56) cm in the LESS-I group and 9.14 (3.15) cm in the LESS-E group (P=0.118). No statistically significant difference was found between the 2 groups in terms of estimated blood loss, postoperative hemoglobin decline, postoperative pain in 24 hours, postoperative hospital stay, and total hospital costs (P>0.05). However, the mean operation time of the LESS-E group was shorter than that of the LESS-I group (85.01 vs. 104.25 minutes; P=0.001).Additionally, the spillage rate of the LESS-I group was significantly greater than that of the LESS-E group (46.8% vs. 17.7%; P<0.001). The mean pain scores at 6 postoperative hours as measured by a visual analogue scale were significantly greater in the LESS-I group than the LESS-E group (3.85 vs. 3.37; P=0.016).Conclusions: LESS-E cystectomy is a safe and feasible approach with a shorter operation time and lower spillage rate than LESS-I cystectomy.

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Surgical technique for single-port laparoscopy in huge ovarian tumors: SW Kim's technique and comparison to laparotomy

Cited by 9 publications

References 15 publications

Comparison of single-port laparoscopy and laparotomy in early ovarian cancer surgical staging

Comparison of single-port laparoscopy and laparotomy in early ovarian cancer surgical staging

Giant Ovarian Tumor Presenting as a Huge Abdomino-Pelvic Mass in a Teenage Girl: A Case Report

Perioperative outcomes of laparoendoscopic single-site extracorporeal versus intracorporeal cystectomy for benign ovarian cysts: a retrospective cohort study based on propensity score matching

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