Single port transumbilical laparoscopic surgery for adnexal lesions: a single center experience in Korea

Yong Wook Jung, Young Mi Choi, Young Choi, Chan Kyung Chung, C.K. Chung, Ga Won Yim, Maria Lee, San Hui Lee, Ji Heum Paek, Eun Ji Nam, Young Tae Kim, Sang Wun Kim
European journal of obstetrics, gynecology, and reproductive biology · 2011 · vol. 155(2) , pp. 221–224 · doi:10.1016/j.ejogrb.2010.12.011 · PMID:21236555 · W2169488970
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-08 ⓘ

This study assessed the feasibility and outcomes of single port transumbilical laparoscopic surgery for adnexal lesions in 86 Korean patients.

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This single-center retrospective study evaluated the feasibility of single port transumbilical laparoscopic surgery (SPLS) for adnexal lesions using a single three-channel port system with a wound retractor and surgical glove, analyzing demographic data, operative times, blood loss, length of stay, postoperative complications, and pathology results. Between October 2008 and September 2009, 86 patients underwent SPLS, with a median operation time of 64.5 minutes, median blood loss of 10 ml, and median postoperative hospital stay of 2 days; endometriosis was the most common diagnosed etiology (34.9%). Complications occurred in 4.7% of cases, including three pelvic infections and one postoperative hemorrhage. This study’s main limitation is its single-center retrospective design based on medical record review. Relevance to endometriosis: endometriosis was the most frequently diagnosed cause of the adnexal lesions treated in this SPLS cohort, though the paper’s main focus is feasibility of the surgical approach for adnexal lesions broadly.

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Methods

We have performed SPLS to treat adnexal lesions using a single three-channel port system with a wound retractor and surgical glove since October 2008. All patients who underwent SPLS for adnexal lesions between October 2008 and September 2009 were included in the study. We retrospectively reviewed their medical records and analyzed demographic data and surgical outcomes including age, medico-surgical illness, surgical indications, operative times and pathologic results.

Results

Eighty-six patients underwent SPLS for adnexal lesions. The median age of the patients was 31 years (range 14-78 years), the median body mass index was 21.0 kg/m(2) (range 16.7-32.2 kg/m(2)), and the median operation time was 64.5 min (range 21-176 min). The median blood loss was 10 ml (range 10-300 ml). The median length of postoperative hospital stay was 2 days (range 1-7 days). Endometriosis was the most frequently diagnosed etiology (34.9%). Other laparoscopic approaches were employed in two cases (2.3%). There were four cases (4.7%) with complications: three with pelvic infections and one with postoperative hemorrhage.

Conclusions

SPLS is a feasible approach for the treatment of adnexal lesions. - Appears in Collections: - 1. College of Medicine (의과대학) > Dept. of Obstetrics and Gynecology (산부인과학교실) > 1. Journal Papers Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

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Condition tags

endometriosis

MeSH descriptors

Adnexal Diseases Laparoscopy Laparoscopy Adnexal Diseases Adnexal Diseases Adolescent Adult Aged Blood Loss, Surgical Body Mass Index Endometriosis Endometriosis Endometriosis Feasibility Studies Female Humans Laparoscopy Laparoscopy Length of Stay Medical Records

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