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. 2013:2013:836380.
doi: 10.1155/2013/836380. Epub 2013 Nov 11.

Adnexal Masses Treated Using a Combination of the SILS Port and Noncurved Straight Laparoscopic Instruments: Turkish Experience and Review of the Literature

Polat Dursun  1 , Tugan Tezcaner, Hulusi B Zeyneloglu, Irem Alyazıcı, Ali Haberal, Ali Ayhan
Affiliations

Adnexal Masses Treated Using a Combination of the SILS Port and Noncurved Straight Laparoscopic Instruments: Turkish Experience and Review of the Literature

Polat Dursun et al. Minim Invasive Surg. 2013.

Abstract

Objective. To report our experience treating adnexal masses using a combination of the SILS port and straight nonroticulating laparoscopic instruments. Study Design. This prospective feasibility study included 14 women with symptomatic and persistent adnexal masses. Removal of adnexal masses via single-incision laparoscopic surgery using a combination of the SILS port and straight nonroticulating laparoscopic instruments was performed. Results. All of the patients had symptomatic complex adnexal masses. Mean age of the patients was 38.4 years (range: 21-61 years) and mean duration of surgery was 71 min (range: 45-130 min). All surgeries were performed using nonroticulating straight laparoscopic instruments. Mean tumor diameter was 6 cm (range: 5-12 cm). All patient pathology reports were benign. None of the patients converted to laparotomy. All the patients were discharged on postoperative d1. Postoperatively, all the patients were satisfied with their incision and cosmetic results. Conclusion. All 14 patients were successfully treated using standard, straight nonroticulating laparoscopic instruments via the SILS port. This procedure can reduce the cost of treatment, which may eventually lead to more widespread use of the SILS port approach. Furthermore, concomitant surgical procedures are possible using this approach. However, properly designed comparative studies with single port and classic laparoscopic surgery are urgently needed.

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Figures

Figure 1
Figure 1
SILS port and instruments positions.
Figure 2
Figure 2
Intraoperative positions of different straight nonroticulating instruments during operations.
Figure 3
Figure 3
(a) USO material inserted into endobag. (b) Specimen extraction using endobag.
Figure 4
Figure 4
Final appearance at the end of the operation and 1–5 months later.
Figure 5
Figure 5
Scar of SILS cystectomy, appearance at 6 months.
See this image and copyright information in PMC

References

    1. Tsai AY, Selzer DJ. Single-port laparoscopic surgery. Advances in Surgery. 2010;44(1):1–27. - PubMed
    1. Canes D, Desai MM, Aron M, et al. Transumbilical single-port surgery: evolution and current status. European Urology. 2008;54(5):1020–1030. - PubMed
    1. Escobar PF, Bedaiwy MA, Fader AN, Falcone T. Laparoendoscopic single-site (LESS) surgery in patients with benign adnexal disease. Fertility and Sterility. 2010;93(6):2074-e7–2074-e10. - PubMed
    1. Kim TJ, Lee YY, Kim MJ, et al. Single port access laparoscopic adnexal surgery. Journal of Minimally Invasive Gynecology. 2009;16(5):612–615. - PubMed
    1. Tam YH, Lee KH, Sihoe JDY, Chan KW, Cheung ST, Pang KK. Initial experience in children using conventional laparoscopic instruments in single-incision laparoscopic surgery. Journal of Pediatric Surgery. 2010;45(12):2381–2385. - PubMed

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