title: The Feasibility and Safety of Adopting Single-Incision Laparoscopic Surgery into Gynecologic Oncology Practice.
abstract: OBJECTIVE
  To determine the complications associated with single-incision laparoscopy in gynecologic oncology surgery.
  
  
  METHODS
  A retrospective cohort (Canadian Task Force classification II-3).
  
  
  METHODS
  A single academic institution.
  
  
  METHODS
  One hundred fifteen consecutive patients undergoing single-incision laparoscopy with suspected gynecologic oncology conditions.
  
  
  METHODS
  Single-incision laparoscopy.
  
  
  RESULTS
  One hundred fifteen patients underwent single-incision laparoscopy. The mean age was 55.3 ± 13.1 years. For procedures completed via single-incision laparoscopy (102/115 [88.7%]), the mean operative time was 130.7 ± 55.5 minutes. The average blood loss was 63 ± 111 mL. The conversion to open rate was 13 of 115 (12.17%). The conversion rate of the 55 patients with benign conditions was lower (2/55 [3.64%]) compared with the 60 patients with malignant conditions (11/60 [18.33%]). The hernia rate was 2 of 115 (1.80%), 1 of which was a recurrent hernia. The median time for follow-up was 30 days (range, 5-653 days).
  
  
  CONCLUSIONS
  Single-incision laparoscopy provides a feasible, safe, and promising minimally invasive modality for treating gynecologic oncology patients.
authors.affiliation: Division of Gynecology, Department of Obstetrics and Gynecology, University of Wisconsin, Madison, Wisconsin.
authors.forename: Ashley J
authors.initials: AJ
authors.lastname: Jennings
authors.affiliation: Division of Gynecology, Department of Obstetrics and Gynecology, University of Wisconsin, Madison, Wisconsin.
authors.forename: Ryan J
authors.initials: RJ
authors.lastname: Spencer
authors.affiliation: Division of Gynecology, Department of Obstetrics and Gynecology, University of Wisconsin, Madison, Wisconsin.
authors.forename: Laura
authors.initials: L
authors.lastname: Hanks
authors.affiliation: Division of Gynecology, Department of Obstetrics and Gynecology, University of Wisconsin, Madison, Wisconsin.
authors.forename: Lisa
authors.initials: L
authors.lastname: Barroilhet
authors.affiliation: Division of Gynecology, Department of Obstetrics and Gynecology, University of Wisconsin, Madison, Wisconsin.
authors.forename: David
authors.initials: D
authors.lastname: Kushner
authors.affiliation: Division of Gynecology, Department of Obstetrics and Gynecology, University of Wisconsin, Madison, Wisconsin.
authors.forename: Stephen
authors.initials: S
authors.lastname: Rose
authors.affiliation: Division of Gynecology, Department of Obstetrics and Gynecology, University of Wisconsin, Madison, Wisconsin.
authors.forename: Laurel
authors.initials: L
authors.lastname: Rice
authors.affiliation: Division of Gynecology, Department of Obstetrics and Gynecology, University of Wisconsin, Madison, Wisconsin. Electronic address: alniaimi@wisc.edu.
authors.forename: Ahmed
authors.initials: A
authors.lastname: Al-Niaimi
mesh_terms: D000328:Adult; D000368:Aged; D016063:Blood Loss, Surgical; D005240:Feasibility Studies; D005260:Female; D005500:Follow-Up Studies; D013509:Gynecologic Surgical Procedures / Q000379:methods; D006801:Humans; D000069290:Incisional Hernia / Q000601:surgery*; D010535:Laparoscopy / Q000379:methods; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D011183:Postoperative Complications / Q000601:surgery*; D012189:Retrospective Studies; D016896:Treatment Outcome; D014565:Urogenital Neoplasms / Q000150:complications / Q000601:surgery*; D055815:Young Adult
keywords: Gynecology oncology; LaparoEndoscopic Singe Site Surgery; Single incision; Single port