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Overcoming technical difficulties with single-port access laparoscopic surgery in gynecology: using conventional laparoscopic instruments.

Authors
 Jiheum Paek ; Eun Ji Nam ; Sang Wun Kim ; Young Tae Kim 
Citation
 Journal of Laparoendoscopic & Advanced Surgical Techniques, Vol.21(2) : 137~141, 2011 
Journal Title
 Journal of Laparoendoscopic & Advanced Surgical Techniques 
ISSN
 1092-6429 
Issue Date
2011
Abstract
AIM: The aim of this report was to investigate ways to overcome technical difficulties of the single-port access (SPA) laparoscopic surgery using conventional laparoscopic instruments in gynecology. METHODS: We performed 140 cases of SPA total laparoscopic hysterectomy for benign gynecologic diseases and 40 cases of two-port access laparoscopic surgery for gynecologic cancers. The conventional laparoscopic instruments, including a 45-cm-long, 5-mm-diameter, 30-degree-angled laparoscope, a 90-degree light cable adaptor, a curved instrument, and nonbulky trocars, and intracorporeal suturing and tying technique were used. RESULTS: All operations were laparoscopically completed with no conversion to conventional laparoscopy or laparotomy. We obtained tolerable surgical outcomes with these instruments. CONCLUSIONS: As the technical difficulties have been overcome, the SPA laparoscopic surgery will be a more and more widespread procedure in the gynecologic field with only minimal skin incision.
URI
http://ir.ymlib.yonsei.ac.kr/handle/22282913/94097
DOI
10.1089/lap.2010.0313
Appears in Collections:
1. 연구논문 > 1. College of Medicine > Dept. of Obstetrics & Gynecology
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Link
 http://online.liebertpub.com/doi/abs/10.1089/lap.2010.0313
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