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

Maria Lee, Sang Wun Kim, Eun Ji Nam, Ga Won Yim, Sunghoon Kim, Young Tae Kim

Research output: Contribution to journalArticle

20 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)1318-1324
Number of pages7
JournalSurgical endoscopy
Volume26
Issue number5
DOIs
Publication statusPublished - 2012 May

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Gynecologic Surgical Procedures
Laparoscopy
Laparotomy
Uterine Myomectomy
Length of Stay
Uterine Diseases
Female Genital Diseases
Leiomyoma
Operative Time
Hysterectomy
Medical Records
Surgeons
Pathology

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

Lee, Maria ; Kim, Sang Wun ; Nam, Eun Ji ; Yim, Ga Won ; Kim, Sunghoon ; Kim, Young Tae. / Single-port laparoscopic surgery is applicable to most gynecologic surgery : A single surgeon's experience. In: Surgical endoscopy. 2012 ; Vol. 26, No. 5. pp. 1318-1324.
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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.",
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Single-port laparoscopic surgery is applicable to most gynecologic surgery : A single surgeon's experience. / Lee, Maria; Kim, Sang Wun; Nam, Eun Ji; Yim, Ga Won; Kim, Sunghoon; Kim, Young Tae.

In: Surgical endoscopy, Vol. 26, No. 5, 05.2012, p. 1318-1324.

Research output: Contribution to journalArticle

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