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Case Reports
. 2013 Jan;5(1):41-4.
doi: 10.4103/2006-8808.118628.

Single incision laparoscopic surgery for a large endometriotic cyst

Ying Woo Ng  1 , Catherina Josephine Goenadi  2 , Yoke Fai Fong  2
Affiliations
Case Reports

Single incision laparoscopic surgery for a large endometriotic cyst

Ying Woo Ng et al. J Surg Tech Case Rep. 2013 Jan.

Abstract

We describe a technique for the treatment of large benign ovarian cysts by single port laparoscopic surgery via the umbilical approach. X-cone single port system (Karl Storz) was employed in this surgery. Prebent atraumatic grasping forceps were used in conjunction with the straight laparoscopic instruments. We propose using a "to-fro" peeling technique in the z-axis in SPLS cystectomy. Combined use of prebent and straight laparoscopic instruments enables the cystectomy to be performed in the z-axis, thereby avoiding instruments crossing and hands collision outside the abdomen. The proposed technique proved to be feasible, easy to employ, and safe in SPLS cystectomy, with the additional benefit of superior cosmetic outcome.

Keywords: Cystectomy; laparoscopy; ovarian; single incision; single incision laparoscopic surgery; single port.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
X-cone is reusable, low-cost single site trocar with multiple ports
Figure 2
Figure 2
Rigid prebent atraumatic grasping forceps
Figure 3
Figure 3
10-cm right endometriotic ovarian cyst
Figure 4
Figure 4
Combined use of prebent and straight forceps through X-cone single port system
Figure 5
Figure 5
(a) Umbilical scar immediately after the surgery and (b) 8-week after the surgery
See this image and copyright information in PMC

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References

    1. Mettler L, Jacobs V, Brandenburg K, Jonat W, Semm K. Laparoscopic management of 641 adnexal tumors in Kiel, Germany. J Am Assoc Gynecol Laparosc. 2001;8:74–82. - PubMed
    1. Medeiros LR, Fachel JM, Garry R, Stein AT, Furness S. Laparoscopy versus laparotomy for benign ovarian tumours. Cochrane Database Syst Rev. 2005;3 CD004751. - PubMed
    1. Romanelli JR, Earle DB. Single-port laparoscopic surgery: An overview. Surg Endosc. 2009;23:1419–27. - PubMed
    1. Fader AN, Escobar PF. Laparoendoscopic single-site surgery (LESS) in gynecologic oncology: Technique and initial report. Gynecol Oncol. 2009;114:157–61. - PubMed
    1. Pfluke JM, Parker M, Stauffer JA, Paetau AA, Bowers SP, Asbun HJ, et al. Laparoscopic surgery performed through a single incision: A systematic review of the current literature. J Am Coll Surg. 2011;212:113–8. - PubMed

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