Single-port access laparoscopic surgery using a novel laparoscopic port (Octo-Port).
OBJECTIVE
We present our initial experience with single-port access (SPA) surgery using a novel laparoscopic port (Octo-Port).


RESULTS
In a prospective study, SPA surgery was carried out on 11 patients with the Octo-Port from July 2009 to December 2009 by a single surgeon (T.-J. K.). The procedures carried out were hysterectomy (seven patients), ovarian cystectomy (two patients) and salpingo-oophorectomy (two patients). In 10 cases the procedure was successfully performed without the use of additional ports. In one case the SPA procedure failed and ancillary ports were required; this patient had anatomical variations that made use of the SPA technique difficult. All procedures were performed without complications. There were no perioperative port-related or surgical problems. The Octo-Port had certain advantages such as reducing the need for long laparoscopic instruments, reducing extracorporeal instrumental crowding, and providing better deflection of smoke compared to other SPA devices that used a wound retractor and a glove.


CONCLUSIONS
Our study demonstrated that the Octo-Port allows laparoscopic surgery to be performed safely and easily with a reduced number of ports.
Department of Obstetrics and Gynecology, CHA Gangnam Medical Center, CHA University, Seoul, Korea.
Taejong
T
Song
Tae-Joong
TJ
Kim
Hyo Jeong
HJ
Kang
Chel Hun
CH
Choi
Jeong-Won
JW
Lee
Duk-Soo
DS
Bae
Byoung-Gie
BG
Kim
D000328:Adult; D000368:Aged; D005260:Female; D005831:Genital Diseases, Female / Q000601:surgery; D013509:Gynecologic Surgical Procedures / Q000295:instrumentation* / Q000379:methods; D006801:Humans; D007044:Hysterectomy / Q000295:instrumentation / Q000379:methods; D010535:Laparoscopy / Q000295:instrumentation* / Q000379:methods; D008875:Middle Aged; D010052:Ovariectomy / Q000295:instrumentation / Q000379:methods; D011446:Prospective Studies; D058994:Salpingectomy / Q000295:instrumentation / Q000379:methods; D016896:Treatment Outcome