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Single-port laparoscopic surgery is applicable to most gynecologic surgery: a single surgeon's experience

Authors
 Maria Lee  ;  Sang Wun Kim  ;  Eun Ji Nam  ;  Ga Won Yim  ;  Sunghoon Kim  ;  Young Tae Kim 
Citation
 SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, Vol.26(5) : 1318-1324, 2012 
Journal Title
 SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES 
ISSN
 0930-2794 
Issue Date
2012
MeSH
Adult ; Blood Loss, Surgical/statistics & numerical data ; Female ; Genital Diseases, Female/surgery* ; Gynecologic Surgical Procedures/methods* ; Humans ; Laparoscopy/methods* ; Length of Stay/statistics & numerical data ; Middle Aged ; Pain, Postoperative/etiology ; Retrospective Studies ; Tissue Adhesions/etiology ; Treatment Outcome
Keywords
Single-port laparoscopic surgery ; Benign gynecological disease ; Laparoscopy
Abstract
BACKGROUND: The aim of this study was to evaluate the use of single-port laparoscopic surgery in benign gynecologic diseases and to examine its impact on surgical outcomes. METHODS: The medical records of 500 consecutive patients who underwent laparotomy or laparoscopic surgery performed by a single surgeon for benign disease from August 2008 to October 2010 were retrospectively reviewed. RESULTS: The surgeries included hysterectomy (n = 239), adnexectomy (n = 212), and myomectomy (n = 51). The indications for surgery included adnexal lesions (48.1%), uterine fibroids (37.8%), preinvasive cervical disease (7.5%), and endometrial pathology (6.6%). Twenty-nine percent of the first 100 cases were single-port laparoscopic surgeries. The percentages increased in the second (62%), third (72%), fourth (71%), and last (86%) 100 cases. The percentages of laparotomy and multiport laparoscopy were 23% and 48%, respectively, in the first 100 cases; however, in the last 100 cases, the percentages dropped to 4% and 10%, respectively. A significant reduction in estimated blood loss and length of hospital stay was observed for all diseases. No differences were identified in the median operative time or complication rate over the study period. CONCLUSION: Single-port laparoscopic surgery can be applied to most benign gynecologic surgery without detrimental effects on clinical outcomes.
Full Text
http://link.springer.com/article/10.1007%2Fs00464-011-2030-5
DOI
22044982
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, Sung Hoon(김성훈) ORCID logo https://orcid.org/0000-0002-1645-7473
Kim, Young Tae(김영태) ORCID logo https://orcid.org/0000-0002-7347-1052
Nam, Eun Ji(남은지) ORCID logo https://orcid.org/0000-0003-0189-3560
Lee, Maria(이마리아)
Yim, Ga Won(임가원)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/91895
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