Linear salpingotomy with suturing by single incision laparoscopic surgery for tubal ectopic pregnancy.
We investigated the feasibility of linear salpingotomy with suturing for ampullary tubal pregnancy via single incision laparoscopic surgery (SILS). Three patients underwent SILS between April and May 2010 at our hospital due to ampullary tubal pregnancy. A multichannel port was inserted into the umbilicus via a 2.5-cm incision to accommodate a 5-mm flexible laparoscope and a disposable articulating forceps. The linearly incised Fallopian tube was intracorporeally sutured using an articulating suturing device dedicated to SILS. The mean surgical duration was 54 minutes. Tubal preservation by linear salpingotomy was accomplished for all patients without up-conversion to conventional laparoscopy. Serum β-hCG values of all patients immediately decreased and further medical treatment was unnecessary.
Department of Obstetrics and Gynecology, Juntendo University School of Medicine, Bunkyo-ku, Tokyo, Japan. kumakiri@juntendo.ac.jp
Jun
J
Kumakiri
Iwaho
I
Kikuchi
Mari
M
Kitade
Shozo
S
Matsuoka
Sachiko
S
Tokita
Satoru
S
Takeda
D000328:Adult; D005187:Fallopian Tubes / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D007902:Length of Stay; D010149:Postoperative Pain / Q000503:physiopathology; D011247:Pregnancy; D011261:Pregnancy Trimester, First; D011274:Pregnancy, Tubal / Q000000981:diagnostic imaging / Q000601:surgery*; D018570:Risk Assessment; D012489:Salpingostomy / Q000379:methods*; D012494:Sampling Studies; D013536:Suture Techniques; D016896:Treatment Outcome; D016216:Ultrasonography, Prenatal; D014472:Umbilicus / Q000601:surgery