title: Single-port access total laparoscopic hysterectomy for large uterus.
abstract: OBJECTIVE
  To evaluate the feasibility and safety of single-port access total laparoscopic hysterectomy (SPA-TLH) for large uterus (>500 g).
  
  
  METHODS
  A prospective data collection was performed in 21 consecutive patients in March 2010 and August 2011. Surgical outcome including operative time (OT) and estimated blood loss (EBL) were analyzed.
  
  
  RESULTS
  SPA-TLH procedures were successfully performed in 16 cases (76.2%). Of the 5 failed cases, 4 were converted to multiport TLH because of distorted uterine contours and pelvic adhesions and 1 was converted to laparotomy for bleeding control. The median OT, uterine weight, and EBL were 110 (65-165) min, 600 (502-980) g, and 200 (100-800) ml, respectively. Spearman's correlation analysis demonstrated that OT and blood loss increased with increasing uterine weight (p = 0.003 and p = 0.033, respectively). No operative complications were observed during the hospital stay and 3-month follow-up following discharge.
  
  
  CONCLUSIONS
  SPA-TLH for large uterus is a feasible and safe technique.
authors.affiliation: Department of Obstetrics and Gynecology, CHA Gangnam Medical Center, CHA University, Seoul, Korea.
authors.forename: Taejong
authors.initials: T
authors.lastname: Song
authors.forename: Yoonjung
authors.initials: Y
authors.lastname: Lee
authors.forename: Mi-La
authors.initials: ML
authors.lastname: Kim
authors.forename: Bo Sung
authors.initials: BS
authors.lastname: Yoon
authors.forename: Won-Duk
authors.initials: WD
authors.lastname: Joo
authors.forename: Seok Ju
authors.initials: SJ
authors.lastname: Seong
authors.forename: In Hyun
authors.initials: IH
authors.lastname: Kim
mesh_terms: D062788:Adenomyosis / Q000473:pathology / Q000601:surgery*; D000328:Adult; D016063:Blood Loss, Surgical; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects / Q000379:methods*; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods*; D007889:Leiomyoma / Q000473:pathology / Q000601:surgery*; D007902:Length of Stay; D008875:Middle Aged; D061646:Operative Time; D009929:Organ Size; D011446:Prospective Studies; D018709:Statistics, Nonparametric; D016896:Treatment Outcome; D014594:Uterine Neoplasms / Q000473:pathology / Q000601:surgery*