Heinemann M, Hamouda S, Petrovic M, Jauffret C, Canone F, Chéreau-Ewald E, Buttarelli M, Houvenaeghel G, Lambaudie E. [Single-port surgery and adnexal procedures: which indications in oncological surgery?].
ACTA ACUST UNITED AC 2013;
41:421-6. [PMID:
23876419 DOI:
10.1016/j.gyobfe.2013.06.001]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2012] [Accepted: 05/10/2013] [Indexed: 10/26/2022]
Abstract
OBJECTIVE
To show the interest of single trocar in order to perform uni- or bilateral salpingo-oophorectomies.
PATIENTS AND METHODS
A descriptive study monocentric.
RESULTS
A total of 79 unilateral or bilateral salpingo-oophorectomies were performed by single-port laparoscopy between January 2010 and September 2012 at the Institut Paoli-Calmettes (Marseille). There are three surgical indications: diagnostic, therapeutic and prophylactic. The median age was 50 years (22-78 years). The median BMI was 22.4 kg/m(2) (17.5 to 37.7 kg/m(2)). The median blood loss was 0cc (0cc-50cc). The median hospital stay of patient was one day (0-6 days). The conversion rate in this study was 8.8%.
DISCUSSION AND CONCLUSION
The single-port laparoscopic approach to perform uni- or bilateral salpingo-oophorectomies is a natural evolution of the conventional laparoscopy. If the cosmetic role seems obvious, its therapeutic value compared to traditional technique must be demonstrated by prospective studies with larger numbers.
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