title: Solo surgeon single-port laparoscopic surgery with a homemade laparoscope-anchored instrument system in benign gynecologic diseases.
abstract: The objective of this study was to present the initial operative experience of solo surgeon single-port laparoscopic surgery (SPLS) in the laparoscopic treatment of benign gynecologic diseases and to investigate its feasibility and surgical outcomes. Using a novel homemade laparoscope-anchored instrument system that consisted of a laparoscopic instrument attached to a laparoscope and a glove-wound retractor umbilical port, we performed solo surgeon SPLS in 13 patients between March 2011 and June 2012. Intraoperative complications and postoperative surgical outcomes were determined. The primary operative procedures performed were unilateral salpingo-oophorectomy (n = 5), unilateral salpingectomy (n = 2), adhesiolysis (n = 1), and laparoscopically assisted vaginal hysterectomy (n = 5). Additional surgical procedures included additional adhesiolysis (n = 4) and ovarian drilling (n = 1).The primary indications for surgery were benign ovarian tumors (n = 5), ectopic pregnancy (n = 2), pelvic adhesion (infertility) (n = 1), and benign uterine tumors (n = 5). Solo surgeon SPLS was successfully accomplished in all procedures without a laparoscopic assistant. There were no intraoperative or postoperative complications. Our laparoscope-anchored instrument system obviates the need for an additional laparoscopic assistant and enables SPLS to be performed by a solo surgeon. The findings show that with our system, solo surgeon SPLS is a feasible and safe alternative technique for the treatment of benign gynecologic diseases in properly selected patients.
authors: Department of Obstetrics and Gynecology, Eulji University, Daejeon, Korea; Research Institute of IT Convergence Medicine, Eulji University, Daejeon, Korea. Electronic address: womanmed@eulji.ac.kr.
authors: Yun Seok
authors: YS
authors: Yang
authors: Department of Obstetrics and Gynecology, Eulji University, Daejeon, Korea; Research Institute of IT Convergence Medicine, Eulji University, Daejeon, Korea.
authors: Seung Hyun
authors: SH
authors: Kim
authors: Department of Obstetrics and Gynecology, Eulji University, Daejeon, Korea.
authors: Chan Hee
authors: CH
authors: Jin
authors: Department of Obstetrics and Gynecology, Eulji University, Daejeon, Korea.
authors: Kwoan Young
authors: KY
authors: Oh
authors: Department of Nursing, Eulji University, Daejeon, Korea; Research Institute of IT Convergence Medicine, Eulji University, Daejeon, Korea.
authors: Myung Haeng
authors: MH
authors: Hur
authors: Department of Preventive Medicine, Eulji University, Daejeon, Korea.
authors: Soo Young
authors: SY
authors: Kim
authors: Research Institute of IT Convergence Medicine, Eulji University, Daejeon, Korea; Yim Hyun Soon Obstetrics and Gynecology Clinic, Daejeon, Korea.
authors: Hyun Soon
authors: HS
authors: Yim
mesh_terms: D000328:Adult; D000368:Aged; D005240:Feasibility Studies; D005260:Female; D005831:Genital Diseases, Female / Q000601:surgery*; D013509:Gynecologic Surgical Procedures / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D007045:Hysterectomy, Vaginal; D020706:Laparoscopes; D010535:Laparoscopy / Q000295:instrumentation / Q000379:methods*; D008875:Middle Aged; D010051:Ovarian Neoplasms / Q000601:surgery; D010052:Ovariectomy / Q000379:methods; D011183:Postoperative Complications; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000601:surgery; D058994:Salpingectomy / Q000379:methods; D000267:Tissue Adhesions / Q000601:surgery; D014472:Umbilicus; D014594:Uterine Neoplasms / Q000601:surgery
keywords: Benign gynecologic disease; Single-port laparoscopic surgery (SPLS); Solo surgeon