Laparoscopy using the left upper quadrant approach.
OBJECTIVE
To describe a technique of laparoscopy and multiport operative pelviscopy using left upper quadrant primary port insertion.


METHODS
Retrospective evaluation (Canadian Task Force classification II-2).


METHODS
Private gynecologic oncology practice.


METHODS
Ninety women with a history of gynecologic cancer and at least one laparotomy.


METHODS
Laparoscopy and operative pelviscopy.


RESULTS
The procedure was performed using the left upper quadrant as a single entry site for the Veress needle and primary laparoscopy port. In 88 women it was performed without complication. One woman experienced transverse colon injury from primary port insertion, which was repaired immediately by laparotomy. A second patient had a rectosigmoid injury that required temporary colostomy at laparotomy.


CONCLUSIONS
Operative laparoscopy using the left upper quadrant approach seems to be safe in patients with advanced gynecologic malignancy. (J Am Assoc Gynecol Laparosc 6(3):323-325, 1999)
Patsner
B
B
New Jersey Gynecologic Oncology, P.A., 180 White Road, Suite 102, Little Silver, NJ 07739, USA.
D005260:Female; D005833:Genital Neoplasms, Female / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D011379:Prognosis; D012189:Retrospective Studies; D012680:Sensitivity and Specificity; D012720:Severity of Illness Index