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Surgical technique for single-port laparoscopy in huge ovarian tumors: SW Kim's technique and comparison to laparotomy

DC FieldValueLanguage
dc.contributor.author김상운-
dc.contributor.author김성훈-
dc.contributor.author김영태-
dc.contributor.author김정숙-
dc.contributor.author남은지-
dc.contributor.author어경진-
dc.contributor.author이인옥-
dc.contributor.author이정윤-
dc.contributor.author정영신-
dc.contributor.author이인하-
dc.date.accessioned2017-11-02T08:17:21Z-
dc.date.available2017-11-02T08:17:21Z-
dc.date.issued2017-
dc.identifier.issn2287-8572-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/154297-
dc.description.abstractOBJECTIVE: This study aimed to introduce a method to remove huge ovarian tumors (≥15 cm) intact with single-port laparoscopic surgery (SPLS) using SW Kim's technique and to compare the surgical outcomes with those of laparotomy. METHODS: Medical records were retrospectively reviewed for patients who underwent either SPLS (n=21) with SW Kim's technique using a specially designed 30×30-cm2-sized 3XL LapBag or laparotomy (n=22) for a huge ovarian tumor from December 2008 to May 2016. Perioperative surgical outcomes were compared. RESULTS: In 19/21 (90.5%) patients, SPLS was successfully performed without any tumor spillage or conversion to multi-port laparoscopy or laparotomy. There was no significant difference in patient characteristics, including tumor diameter and total operation time, between both groups. The postoperative hospital stay was significantly shorter for the SPLS group than for the laparotomy group (median, 2 [1 to 5] vs. 4 [3 to 17] days; P<0.001). The number of postoperative general diet build-up days was also significantly shorter for the SPLS group (median, 1 [1 to 4] vs. 3 [2 to 16] days; P<0.001). Immediate post-operative pain score was lower in the SPLS group (median, 2.0 [0 to 8] vs. 4.0 [0 to 8]; P=0.045). Patient-controlled anesthesia was used less in the SPLS group (61.9% vs. 100%). CONCLUSION: SPLS was successful in removing most large ovarian tumors without rupture and showed quicker recovery and less immediate post-operative pain in comparison to laparotomy. SPLS using SW Kim's technique could be a feasible solution to removing huge ovarian tumors.-
dc.description.statementOfResponsibilityopen-
dc.formatapplication/pdf-
dc.languageEnglish-
dc.publisherKorean Society of Obstetrics and Gynecology-
dc.relation.isPartOfObstetrics & Gynecology Science-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.titleSurgical technique for single-port laparoscopy in huge ovarian tumors: SW Kim's technique and comparison to laparotomy-
dc.typeArticle-
dc.publisher.locationKorea (South)-
dc.contributor.collegeCollege of Medicine-
dc.contributor.departmentDept. of Obstetrics & Gynecology-
dc.contributor.googleauthorJeong Sook Kim-
dc.contributor.googleauthorIn Ok Lee-
dc.contributor.googleauthorKyung Jin Eoh-
dc.contributor.googleauthorYoung Shin Chung-
dc.contributor.googleauthorInha Lee-
dc.contributor.googleauthorJung-Yun Lee-
dc.contributor.googleauthorEun Ji Nam-
dc.contributor.googleauthorSunghoon Kim-
dc.contributor.googleauthorYoung Tae Kim-
dc.contributor.googleauthorSang Wun Kim-
dc.identifier.doi10.5468/ogs.2017.60.2.178-
dc.contributor.localIdA00595-
dc.contributor.localIdA00729-
dc.contributor.localIdA05104-
dc.contributor.localIdA01262-
dc.contributor.localIdA04842-
dc.contributor.localIdA05167-
dc.contributor.localIdA04638-
dc.contributor.localIdA04849-
dc.contributor.localIdA00526-
dc.relation.journalcodeJ02408-
dc.relation.journalsince2013~-
dc.identifier.pmid28344959-
dc.relation.journalbefore~2012 Korean Journal of Obstetrics and Gynecology-
dc.subject.keywordLaparoscopy-
dc.subject.keywordOvarian cysts-
dc.subject.keywordSingle port-
dc.contributor.alternativeNameKim, Sang Wun-
dc.contributor.alternativeNameKim, Sung Hoon-
dc.contributor.alternativeNameKim, Young Tae-
dc.contributor.alternativeNameKim, Jeong Sook-
dc.contributor.alternativeNameNam, Eun Ji-
dc.contributor.alternativeNameEoh, Kyung Jin-
dc.contributor.alternativeNameLee, In Ok-
dc.contributor.alternativeNameLee, Jung-Yun-
dc.contributor.alternativeNameChung, Young Shin-
dc.contributor.affiliatedAuthorKim, Sung Hoon-
dc.contributor.affiliatedAuthorKim, Young Tae-
dc.contributor.affiliatedAuthorKim, Jeong Sook-
dc.contributor.affiliatedAuthorNam, Eun Ji-
dc.contributor.affiliatedAuthorEoh, Kyung Jin-
dc.contributor.affiliatedAuthorLee, In Ok-
dc.contributor.affiliatedAuthorLee, Jung-Yun-
dc.contributor.affiliatedAuthorChung, Young Shin-
dc.contributor.affiliatedAuthorKim, Sang Wun-
dc.citation.titleObstetrics & Gynecology Science-
dc.citation.volume60-
dc.citation.number2-
dc.citation.startPage178-
dc.citation.endPage186-
dc.identifier.bibliographicCitationObstetrics & Gynecology Science, Vol.60(2) : 178-186, 2017-
dc.date.modified2017-11-01-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Obstetrics and Gynecology (산부인과학교실) > 1. Journal Papers

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