title: Single port transumbilical laparoscopic surgery for adnexal lesions: a single center experience in Korea.
abstract: OBJECTIVE
  The purpose of this study was to demonstrate the feasibility of single port transumbilical laparoscopic surgery (SPLS) for the treatment of adnexal lesions.
  
  
  METHODS
  We have performed SPLS to treat adnexal lesions using a single three-channel port system with a wound retractor and surgical glove since October 2008. All patients who underwent SPLS for adnexal lesions between October 2008 and September 2009 were included in the study. We retrospectively reviewed their medical records and analyzed demographic data and surgical outcomes including age, medico-surgical illness, surgical indications, operative times and pathologic results.
  
  
  RESULTS
  Eighty-six patients underwent SPLS for adnexal lesions. The median age of the patients was 31 years (range 14-78 years), the median body mass index was 21.0 kg/m(2) (range 16.7-32.2 kg/m(2)), and the median operation time was 64.5 min (range 21-176 min). The median blood loss was 10 ml (range 10-300 ml). The median length of postoperative hospital stay was 2 days (range 1-7 days). Endometriosis was the most frequently diagnosed etiology (34.9%). Other laparoscopic approaches were employed in two cases (2.3%). There were four cases (4.7%) with complications: three with pelvic infections and one with postoperative hemorrhage.
  
  
  CONCLUSIONS
  SPLS is a feasible approach for the treatment of adnexal lesions.
authors.affiliation: Department of Obstetrics and Gynecology, CHA University School of Medicine, Seoul, Republic of Korea.
authors.forename: Yong Wook
authors.initials: YW
authors.lastname: Jung
authors.forename: Young Mi
authors.initials: YM
authors.lastname: Choi
authors.forename: Chan Kyung
authors.initials: CK
authors.lastname: Chung
authors.forename: Ga Won
authors.initials: GW
authors.lastname: Yim
authors.forename: Maria
authors.initials: M
authors.lastname: Lee
authors.forename: San Hui
authors.initials: SH
authors.lastname: Lee
authors.forename: Ji Heum
authors.initials: JH
authors.lastname: Paek
authors.forename: Eun Ji
authors.initials: EJ
authors.lastname: Nam
authors.forename: Young Tae
authors.initials: YT
authors.lastname: Kim
authors.forename: Sang Wun
authors.initials: SW
authors.lastname: Kim
mesh_terms: D000291:Adnexal Diseases / Q000473:pathology / Q000601:surgery*; D000293:Adolescent; D000328:Adult; D000368:Aged; D016063:Blood Loss, Surgical; D015992:Body Mass Index; D004715:Endometriosis / Q000473:pathology / Q000601:surgery; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000295:instrumentation* / Q000379:methods*; D007902:Length of Stay; D008499:Medical Records; D008875:Middle Aged; D011183:Postoperative Complications; D056910:Republic of Korea; D012189:Retrospective Studies; D013997:Time Factors; D016896:Treatment Outcome; D014472:Umbilicus; D055815:Young Adult