alexa Single-Port Laparoscopic Surgery in Extensive Peritoneal and Ovarian Endometriosis
ISSN: 2161-0932

Gynecology & Obstetrics
Open Access

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Research Article

Single-Port Laparoscopic Surgery in Extensive Peritoneal and Ovarian Endometriosis

Jiheum Paek1, Young Sik Choi2, Eun Ji Nam2, Sunghoon Kim2, Young Tae Kim2 and Sang WunKim2*

1Department of Obstetrics and Gynecology, Ajou University School of Medicine, Suwon, Korea

2Department of Obstetrics and Gynecology, Yonsei University College of Medicine, Seoul, Korea

*Corresponding Author:
Sang WunKim
Division of Gynecologic Oncology
Department of Obstetrics and Gynecology
Yonsei University College of Medicine, 134 Shinchon-dong
Seodaemun-gu, 120-752, Seoul, Republic of Korea
Tel: +822-2228-2230
Fax: +822-313-8357
E-mail: [email protected]

Received date: November 12, 2012; Accepted date: December 17, 2012; Published date: December 27, 2012

Citation: Paek J, Choi YS, Nam EJ, Kim S, Kim YT, et al. (2012) Single-Port Laparoscopic Surgery in Extensive Peritoneal and Ovarian Endometriosis. Gynecol Obstet 2:138. doi: 10.4172/2161-0932.1000138

Copyright: © 2012 Paek J, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



Objective: The aim of this study was to assess the feasibility and safety of Single-Port Access (SPA) Laparoscopic Complete Excision (LCE) in severe endometriosis of the adnexa and pelvic peritoneum.

Methods: The surgical outcomes of 40 consecutive patients that underwent SPA-LCE were compared with those from the control group with conventional LCE.

Results: The mean operating time was 102 min for the SPA group and 103.4 min for the conventional group, respectively (P=0.899). Both groups had the same estimated blood loss (50 mL). The mean postoperative hospital stay of the SPA group was 1.9 days and shorter than that for the conventional group (2.8 days, P=0.008). The mean postoperative pain score after 48-hours of the SPA group was lower as compared to that of theconventional group (1.9 vs. 2.8, P=0.001). There was no operative complication in either group.

Conclusion: SPA-LCE was feasible as a minimal invasive surgery for the treatment of severe endometriosis of the adnexa and pelvic peritoneum.

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