Overcoming technical difficulties with single-port access laparoscopic surgery in gynecology

Using conventional laparoscopic instruments

Jiheum Paek, Eun Ji Nam, YoungTae Kim, Sang Wun Kim

Research output: Contribution to journalArticle

10 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)137-141
Number of pages5
JournalJournal of Laparoendoscopic and Advanced Surgical Techniques
Volume21
Issue number2
DOIs
Publication statusPublished - 2011 Mar 1

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Gynecology
Laparoscopy
Female Genital Diseases
Laparoscopes
Hysterectomy
Surgical Instruments
Laparotomy
Light
Skin
Neoplasms

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

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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.",
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AU - Kim, Sang Wun

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