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  • Title: Single port access laparoscopic adnexal surgery.
    Author: Kim TJ, Lee YY, Kim MJ, Kim CJ, Kang H, Choi CH, Lee JW, Kim BG, Bae DS.
    Journal: J Minim Invasive Gynecol; 2009; 16(5):612-5. PubMed ID: 19835804.
    Abstract:
    STUDY OBJECTIVE: To estimate the feasibility, safety, and operative outcomes for the management of adnexal masses by single port access (SPA) laparoscopy with a wound retractor and a surgical glove. DESIGN: A prospective single-center study (Canadian Task Force classification III). SETTING: University hospital. PATIENTS: Twenty-four well selected patients with adnexal masses on imaging scans recruited from June 2008 through January 2009. INTERVENTIONS: Single port access laparoscopic adnexal surgery. MEASUREMENTS AND MAIN RESULTS: Single port access laparoscopic adnexal surgery was successfully completed in 22 of 24 patients. The median age of the patients was 45 years (range 23-63 years), and the median body mass index was 22 (range 18-29). The median tumor size was 5 cm (range 3-12 cm). The median operative time was 70 minutes (range 40-128 minutes). The estimated blood loss was minimal (range 10-100mL). The postoperative course was uneventful in all patients. The median postoperative hospital stay was 1 day (range 1-3 days). No postoperative complications were observed at follow-up. The 2 failed cases were as follow: 1 required an additional trocar for adequate adhesiolysis, and the other a staging laparotomy because of the finding of a borderline ovarian malignancy on frozen section pathologic study. CONCLUSION: The single port access laparoscopic adnexal surgery was safe and feasible and provided almost no visual scar.
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