title: Single port access laparoscopic adnexal surgery.
abstract: 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.
authors.affiliation: Department of Obstetrics and Gynecology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
authors.forename: Tae-Joong
authors.initials: TJ
authors.lastname: Kim
authors.forename: Yoo-Young
authors.initials: YY
authors.lastname: Lee
authors.forename: Min Jae
authors.initials: MJ
authors.lastname: Kim
authors.forename: Chul Jung
authors.initials: CJ
authors.lastname: Kim
authors.forename: Heeseok
authors.initials: H
authors.lastname: Kang
authors.forename: Chel Hun
authors.initials: CH
authors.lastname: Choi
authors.forename: Jeong-Won
authors.initials: JW
authors.lastname: Lee
authors.forename: Byoung-Gie
authors.initials: BG
authors.lastname: Kim
authors.forename: Duk-Soo
authors.initials: DS
authors.lastname: Bae
mesh_terms: 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