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Single port transumbilical laparoscopic surgery for adnexal lesions: a single center experience in Korea

 Yong Wook Jung ; Young Mi Choi ; Sang Wun Kim ; Young Tae Kim ; Eun Ji Nam ; Ji Heum Paek ; San Hui Lee ; Maria Lee ; Ga Won Yim ; Chan Kyung Chung 
 European Journal of Obstetrics & Gynecology and Reproductive Biology, Vol.155(2) : 221~224, 2011 
Journal Title
 European Journal of Obstetrics & Gynecology and Reproductive Biology 
Issue Date
OBJECTIVES: The purpose of this study was to demonstrate the feasibility of single port transumbilical laparoscopic surgery (SPLS) for the treatment of adnexal lesions. METHODS: We have performed SPLS to treat adnexal lesions using a single three-channel port system with a wound retractor and surgical glove since October 2008. All patients who underwent SPLS for adnexal lesions between October 2008 and September 2009 were included in the study. We retrospectively reviewed their medical records and analyzed demographic data and surgical outcomes including age, medico-surgical illness, surgical indications, operative times and pathologic results. RESULTS: Eighty-six patients underwent SPLS for adnexal lesions. The median age of the patients was 31 years (range 14-78 years), the median body mass index was 21.0 kg/m(2) (range 16.7-32.2 kg/m(2)), and the median operation time was 64.5 min (range 21-176 min). The median blood loss was 10 ml (range 10-300 ml). The median length of postoperative hospital stay was 2 days (range 1-7 days). Endometriosis was the most frequently diagnosed etiology (34.9%). Other laparoscopic approaches were employed in two cases (2.3%). There were four cases (4.7%) with complications: three with pelvic infections and one with postoperative hemorrhage. CONCLUSIONS: SPLS is a feasible approach for the treatment of adnexal lesions.
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1. 연구논문 > 1. College of Medicine > Dept. of Obstetrics & Gynecology
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