title: Transumbilical single port laparoscopic surgery for the treatment of concomitant disease.
abstract: BACKGROUND
  We report our experience of transumbilical single port laparoscopic surgery (TUSPLS) for multiple concomitant intraabdominal pathologies, and assess the feasibility of this technique with several technical tips.
  
  
  METHODS
  Various combined procedures using TUSPLS were performed since April, 2008. All records of concomitant laparoscopic procedures using TUSPLS were searched at three hospitals.
  
  
  RESULTS
  Forty-one patients underwent 82 combined procedures using TUSPLS in a single session. The perioperative outcomes of simultaneously performed cholecystectomy and ovarian cystectomy using TUSPLS (n = 14) are compared with those of using CLS (n = 11). The operating time was significantly longer with the TUSPLS method than with the CLS method. However, postoperative convalescent outcomes such as postoperative hospital stay, VAS pain score, and required analgesics showed no differences between the two methods. Also, there were no significant operative complications associated with the two methods. Fewer trocars were used with the TUSPLS method.
  
  
  CONCLUSIONS
  Combined laparoscopic procedures for various concomitant pathologies in the abdomen can be performed using transumbilical single port laparoscopic surgery without increasing morbidity or hospital stay in patients with acceptable risk.
authors.affiliation: Department of Surgery, Armed Forces Capital Hospital, Seongnam, Korea.
authors.forename: Jun Suh
authors.initials: JS
authors.lastname: Lee
authors.forename: Tae Ho
authors.initials: TH
authors.lastname: Hong
authors.forename: Byung Joon
authors.initials: BJ
authors.lastname: Park
authors.forename: Jin Jo
authors.initials: JJ
authors.lastname: Kim
mesh_terms: D000328:Adult; D000700:Analgesics / Q000627:therapeutic use; D017081:Cholecystectomy, Laparoscopic / Q000379:methods*; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D007902:Length of Stay; D008875:Middle Aged; D057605:Natural Orifice Endoscopic Surgery / Q000379:methods*; D061646:Operative Time; D010048:Ovarian Cysts / Q000601:surgery*; D010147:Pain Measurement; D010149:Postoperative Pain / Q000188:drug therapy / Q000453:epidemiology; D012189:Retrospective Studies; D014472:Umbilicus
chemical_list: D000700:Analgesics