title: Single-port laparoscopic myomectomy using transumbilical GelPort access.
abstract: OBJECTIVE
  To describe our initial experience with single-port laparoscopic myomectomy (SP-LM) using transumbilical GelPort access and the surgical technique used, and to evaluate the safety and feasibility of this procedure.
  
  
  METHODS
  A prospective observational study was performed at a university teaching hospital from January 2009 to December 2009. Fifteen patients with symptomatic subserosal or superficial intramural myomas (≤ 8 cm) underwent SP-LM.
  
  
  RESULTS
  The mean age and body mass index were 35.0 ± 8.6 years and 22.6 ± 2.6 kg/m². Two patients had a history of previous abdominal surgery, consisting of one and two cesarean deliveries. The mean operating time, hemoglobin change, return of bowel activity, and length of hospital stay were 81 ± 21.5 min, 1.1 ± 0.5 g/dL, 34.3 ± 5.9 h, and 3.1 ± 0.5 days, respectively. In one patient (6.7%), SP-LM was converted to two-port LM. There were no surgical or wound complications in any patient, and the histopathological result was leiomyoma in all the cases.
  
  
  CONCLUSIONS
  SP-LM is feasible in selected patients with symptomatic myoma.
authors.affiliation: The Department of Obstetrics and Gynecology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, South Korea.
authors.forename: Jung Hun
authors.initials: JH
authors.lastname: Lee
authors.forename: Joong Sub
authors.initials: JS
authors.lastname: Choi
authors.forename: Seung Wook
authors.initials: SW
authors.lastname: Jeon
authors.forename: Chang Eop
authors.initials: CE
authors.lastname: Son
authors.forename: Se Jin
authors.initials: SJ
authors.lastname: Lee
authors.forename: Yong Seung
authors.initials: YS
authors.lastname: Lee
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D007889:Leiomyoma / Q000473:pathology / Q000601:surgery*; D007902:Length of Stay; D011446:Prospective Studies; D014472:Umbilicus / Q000601:surgery; D014594:Uterine Neoplasms / Q000473:pathology / Q000601:surgery*