title: Single-port approach to benign gynecologic pathology. A review.
abstract: Laparoscopy is the gold standard in gynecological surgery. Single-port laparoscopic surgery, has been developed in order to improve minimally invasive surgery. We analyzed single-port approach in benign gynecologic pathology and made a bibliographic research on Pubmed and Medline from January 2000 to January 2015. From what emerges from the papers taken into consideration, single-port laparoscopy can be used for salpingostomy or salpingectomy to treat tubal ectopic pregnancy, benign adnexal disease (ovarian cystectomy, salpingo-oophorectomy), and for hysterectomy. We do not have enough data for complex procedures like myomectomy or hysteropexy. Robotic single-port laparoscopy seems to be a very attractive perspective and its use in benign gynecology surgery is expanding. More and more ergonomic limitations of single-port laparoscopy are corrected by development of articulated or flexible instruments and camera. Beyond these preliminary results, more ample prospective studies with an adapted and standardized instrumentation are thus essential to highlight real profits.
authors.affiliation: Department of Obstetrics and Gynecology, Hôpital Foch, Suresnes, France - carbonnelmarie@gmail.com.
authors.forename: M
authors.initials: M
authors.lastname: Carbonnel
authors.forename: A
authors.initials: A
authors.lastname: Revaux
authors.forename: R
authors.initials: R
authors.lastname: Frydman
authors.forename: A
authors.initials: A
authors.lastname: Yazigi
authors.forename: J M
authors.initials: JM
authors.lastname: Ayoubi
mesh_terms: D004867:Equipment Design; D005260:Female; D005831:Genital Diseases, Female / Q000503:physiopathology / Q000601:surgery*; D013509:Gynecologic Surgical Procedures / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000295:instrumentation / Q000379:methods*; D019060:Minimally Invasive Surgical Procedures / Q000295:instrumentation / Q000379:methods; D011247:Pregnancy; D065287:Robotic Surgical Procedures / Q000295:instrumentation / Q000379:methods