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The feasibility of scarless single-port transumbilical total laparoscopic hysterectomy: initial clinical experience

Authors
 Yong Wook Jung  ;  Young Tae Kim  ;  Dae Woo Lee  ;  Yu Im Hwang  ;  Eun Ji Nam  ;  Jae Hoon Kim  ;  Sang Wun Kim 
Citation
 SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, Vol.24(7) : 1686-1692, 2010 
Journal Title
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
ISSN
 0930-2794 
Issue Date
2010
MeSH
Adult ; Cicatrix/prevention & control ; Feasibility Studies ; Female ; Humans ; Hysterectomy/methods* ; Laparoscopy/methods* ; Middle Aged ; Umbilicus/surgery ; Uterine Diseases/surgery*
Keywords
Hysterectomy ; Laparoscopy ; Minimally invasive surgical procedures
Abstract
OBJECTIVE: The purpose of the present study is to demonstrate the feasibility of single-port transumbilical laparoscopic surgery (SPLS) for hysterectomy and elaborate on our experience in order to introduce the single-port approach for gynecologic surgery.

METHODS: Between August 2008 and February 2009, 30 patients who initially planned to undergo single-port laparoscopic surgery at Yonsei University Health System in Seoul, Korea were enrolled in this study. The authors used a single-port three-channel system with a wound retractor, surgical gloves, and one 10/11-mm and two 5-mm trocars. All surgical procedures were performed with 30 degrees , 5-mm laparoscope, conventional laparoscopic instruments, and the LigaSure system (Valleylab, Boulder, CO, USA). Patient characteristics and surgical outcomes were prospectively evaluated. A visual analog score (VAS) scale was used to measure postoperative pain.

RESULTS: Twenty-nine of 30 patients underwent single-port laparoscopic surgery without conversion to laparotomy or conventional laparoscopic hysterectomy. Median operative time was 100 min (57-155 min), median blood loss was 100 ml (10-400 ml), median postoperative hospital stay was 3 days (2-6 days), and median weight of resected uteri was 167 g (45-482 g). VAS scoring of pain at 6, 24, and 48 h after surgery was 4, 3, and 2, respectively. There were no operative complications.

CONCLUSION: SPLS is a feasible approach for hysterectomy in terms of operative time, complication rates, and cosmetic results. However, the possible benefits for patients such as better cosmetic outcomes, reduced pain, and lower complication rates should be evaluated in randomized prospective studies
Full Text
http://link.springer.com/article/10.1007%2Fs00464-009-0830-7
DOI
10.1007/s00464-009-0830-7
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Obstetrics and Gynecology (산부인과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Sang Wun(김상운) ORCID logo https://orcid.org/0000-0002-8342-8701
Kim, Young Tae(김영태) ORCID logo https://orcid.org/0000-0002-7347-1052
Kim, Jae Hoon(김재훈) ORCID logo https://orcid.org/0000-0001-6599-7065
Nam, Eun Ji(남은지) ORCID logo https://orcid.org/0000-0003-0189-3560
Lee, Dae Woo(이대우)
Jung, Yong Wook(정용욱)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/102377
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