Single-port laparoscopic salpingectomy for the surgical treatment of ectopic pregnancy.
OBJECTIVE
To evaluate the feasibility of a single-port laparoscopic salpingectomy in the surgical treatment of tubal pregnancy.


METHODS
Prospective cohort study (Canadian Task Force classification II-2).


METHODS
University teaching hospital


METHODS
Twenty women with tubal pregnancy, as determined by ultrasonography.


METHODS
All patients have undergone single-port laparoscopic salpingectomy. Entry through a single port was established with a wound retractor as fascial retractor and a surgical glove, which served as the working channels for the laparoscopic equipment. A 30-degree laparoscope and a rigid or flexible grasper were used during the procedure.


RESULTS
Single-port laparoscopic salpingectomy was successfully performed in all 20 patients with ectopic pregnancy. The median operative time was 55 minutes (range 25-85 minutes), and blood loss in all patients was minimal. The median difference between preoperative and postoperative hemoglobin was 1.8 g/dL (range 0-3.2 g/dL). The median postoperative hospital stay was 2 days (range 2-4 days). No complication was encountered, nor was there any need for conversion to conventional laparoscopy.


CONCLUSIONS
Single-port laparoscopic salpingectomy is feasible and promising. However, for drawing the definite conclusion of the surgical efficacy, additional investigations to compare this approach with conventional laparoscopy are needed.
Yoon
Bo Sung
BS
Department of Obstetrics and Gynecology, Gangnam CHA Medical Center, CHA University, Seoul, Korea. ybs74@yahoo.co.kr
Park
Hyun
H
Seong
Seok Ju
SJ
Park
Chong Taik
CT
Park
Sang Won
SW
Lee
Kyung Jin
KJ
D000328:Adult; D015331:Cohort Studies; D005187:Fallopian Tubes / Q000601:surgery*; D005260:Female; D005932:Gloves, Surgical; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D007902:Length of Stay; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000000981:diagnostic imaging / Q000601:surgery*; D011446:Prospective Studies; D016896:Treatment Outcome; D014463:Ultrasonography