title: Single-port laparoscopic salpingectomy for the surgical treatment of ectopic pregnancy.
abstract: 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.
authors.affiliation: Department of Obstetrics and Gynecology, Gangnam CHA Medical Center, CHA University, Seoul, Korea. ybs74@yahoo.co.kr
authors.forename: Bo Sung
authors.initials: BS
authors.lastname: Yoon
authors.forename: Hyun
authors.initials: H
authors.lastname: Park
authors.forename: Seok Ju
authors.initials: SJ
authors.lastname: Seong
authors.forename: Chong Taik
authors.initials: CT
authors.lastname: Park
authors.forename: Sang Won
authors.initials: SW
authors.lastname: Park
authors.forename: Kyung Jin
authors.initials: KJ
authors.lastname: Lee
mesh_terms: 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