Single‑port laparoscopic surgery for ovarian cystectomy: A single‑center analysis of 25 cases

Nakayama,Kentaro; Yoshimura,Yuki; Razia,Sultana; Yamashita,Hitomi; Ishibashi,Tomoka; Ishikawa,Masako; Sasamori,Hiroki; Sawada,Kiyoka; Kurose,Sonomi; Sato,Seiya; Kyo,Satoru

doi:10.3892/mco.2021.2322

August-2021 Volume 15 Issue 2

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August-2021 Volume 15 Issue 2

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Article Open Access

Single‑port laparoscopic surgery for ovarian cystectomy: A single‑center analysis of 25 cases

Authors:
- Kentaro Nakayama
- Yuki Yoshimura
- Sultana Razia
- Hitomi Yamashita
- Tomoka Ishibashi
- Masako Ishikawa
- Hiroki Sasamori
- Kiyoka Sawada
- Sonomi Kurose
- Seiya Sato
- Satoru Kyo
View Affiliations / Copyright

Affiliations: Department of Obstetrics and Gynecology, Shimane University, Izumo, Shimane 6938501, Japan

Copyright: © Nakayama et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
Article Number: 160
|
Published online on: June 14, 2021

https://doi.org/10.3892/mco.2021.2322
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Abstract

Innovation in gynecological surgery is constantly evolving to make procedures less invasive. Minimally invasive single‑port laparoscopic surgery (SPLS) is another innovation that may further improve gynecological surgery outcomes. However, SPLS is not widely used due to the technical difficulties of the procedure. Inserting several instruments through the same incision impedes proper use of the devices. Therefore, the present study aimed to find a technique to overcome this problem and make this approach more convenient. Between March 2015 and February 2020, 25 patients were treated with SPLS by a single gynecological surgeon. The range of surgery time was 50‑103 min and the mean surgery time was 67.2 min. The mean bleeding volume was small (mean, 10.1 ml). No intraoperative or postoperative complications occurred in the patients. A gel port (GelPOINT^® Mini Medical Leaders) was inserted into the peritoneal cavity through a 3‑cm Z‑shaped intra‑umbilical skin incision. Additionally, a small incision (3 mm) was made in the left medial portion of the iliac crest and a bladeless trocar (Versa One^®) was inserted. Thus, crowding of the working instruments within one incision was prevented. The addition of a small diameter port (3‑mm) at the wound site left practically no scar, thus making SPLS a cosmetically superior option compared with a bigger diameter port (5‑mm).

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