Two-port access laparoscopic surgery in gynecologic oncology

Maria Lee, Eun Ji Nam, Sunghoon Kim, Jae Hoon Kim, Young Tae Kim, Sang Wun Kim

Research output: Contribution to journalReview article

5 Citations (Scopus)

Abstract

Purpose: The purpose of this study was to evaluate the feasibility and safety of 2-port access (TPA) laparoscopy in gynecologic oncology. Methods: This was a retrospective review of 81 consecutive patients who underwent TPA laparoscopic surgery for various gynecologic cancers from March 2009 to September 2011. The TPA system consisted of a single multichannel port at the umbilicus and an ancillary 5-mm port in the suprapubic area. Results: The surgical procedures included comprehensive ovarian cancer staging (33 patients), radical hysterectomy with pelvic lymph node dissection (19 patients), and endometrial cancer staging (29 patients). All surgical procedures were completed laparoscopically with no conversion to laparotomy. Two cases required 1 or 2 additional ports. The mean operating time, estimated blood loss, and number of lymph nodes were 253.8 minutes, 170.7 mL, and 34.9, respectively. Three patients (9.1%) with ovarian cancer and 4 patients (13.8%) with endometrial cancer were upstaged after surgery. The mean postoperative hospital stay was 6.6 days, and the mean postoperative pain scores (0Y10 scale) were 3.4 at 6 hours, 3.0 at 24 hours, and 2.5 at 48 hours. Postoperative complications occurred at a low incidence (4.9%) and included one umbilical hernia, one vault dehiscence, and one lumbosacral nerve injury. Conclusions: Two-port access laparoscopic surgery using a single multichannel port system is a feasible and safe procedure in selected patients with gynecologic cancers. Prospective randomized trials will permit the evaluation of the potential benefits of this minimally invasive surgical technique.

Original languageEnglish
Pages (from-to)935-942
Number of pages8
JournalInternational Journal of Gynecological Cancer
Volume23
Issue number5
DOIs
Publication statusPublished - 2013 Jun 1

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Laparoscopy
Neoplasm Staging
Endometrial Neoplasms
Ovarian Neoplasms
Umbilicus
Umbilical Hernia
Postoperative Pain
Lymph Node Excision
Hysterectomy
Laparotomy
Length of Stay
Neoplasms
Lymph Nodes
Safety
Incidence
Wounds and Injuries

All Science Journal Classification (ASJC) codes

  • Oncology
  • Obstetrics and Gynaecology

Cite this

Lee, Maria ; Nam, Eun Ji ; Kim, Sunghoon ; Kim, Jae Hoon ; Kim, Young Tae ; Kim, Sang Wun. / Two-port access laparoscopic surgery in gynecologic oncology. In: International Journal of Gynecological Cancer. 2013 ; Vol. 23, No. 5. pp. 935-942.
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Two-port access laparoscopic surgery in gynecologic oncology. / Lee, Maria; Nam, Eun Ji; Kim, Sunghoon; Kim, Jae Hoon; Kim, Young Tae; Kim, Sang Wun.

In: International Journal of Gynecological Cancer, Vol. 23, No. 5, 01.06.2013, p. 935-942.

Research output: Contribution to journalReview article

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AU - Nam, Eun Ji

AU - Kim, Sunghoon

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AU - Kim, Sang Wun

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