Single port access laparoscopic adnexal surgery.
OBJECTIVE
To estimate the feasibility, safety, and operative outcomes for the management of adnexal masses by single port access (SPA) laparoscopy with a wound retractor and a surgical glove.


METHODS
A prospective single-center study (Canadian Task Force classification III).


METHODS
University hospital.


METHODS
Twenty-four well selected patients with adnexal masses on imaging scans recruited from June 2008 through January 2009.


METHODS
Single port access laparoscopic adnexal surgery.


RESULTS
Single port access laparoscopic adnexal surgery was successfully completed in 22 of 24 patients. The median age of the patients was 45 years (range 23-63 years), and the median body mass index was 22 (range 18-29). The median tumor size was 5 cm (range 3-12 cm). The median operative time was 70 minutes (range 40-128 minutes). The estimated blood loss was minimal (range 10-100mL). The postoperative course was uneventful in all patients. The median postoperative hospital stay was 1 day (range 1-3 days). No postoperative complications were observed at follow-up. The 2 failed cases were as follow: 1 required an additional trocar for adequate adhesiolysis, and the other a staging laparotomy because of the finding of a borderline ovarian malignancy on frozen section pathologic study.


CONCLUSIONS
The single port access laparoscopic adnexal surgery was safe and feasible and provided almost no visual scar.
Kim
Tae-Joong
TJ
Department of Obstetrics and Gynecology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Lee
Yoo-Young
YY
Kim
Min Jae
MJ
Kim
Chul Jung
CJ
Kang
Heeseok
H
Choi
Chel Hun
CH
Lee
Jeong-Won
JW
Kim
Byoung-Gie
BG
Bae
Duk-Soo
DS
D000291:Adnexal Diseases / Q000601:surgery*; D000328:Adult; D005240:Feasibility Studies; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008875:Middle Aged; D011446:Prospective Studies; D055815:Young Adult