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Updated: Jun 19, 2026

Single Port Donor Nephrectomy
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Published on: March 12, 2011

Single port access laparoscopic adnexal surgery.

Tae-Joong Kim1, Yoo-Young Lee, Min Jae Kim

  • 1Department of Obstetrics and Gynecology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

Journal of Minimally Invasive Gynecology
|October 20, 2009
PubMed
Summary
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Single port access (SPA) laparoscopy is a safe and feasible surgical option for managing adnexal masses, offering excellent operative outcomes with minimal scarring. This minimally invasive technique provides a nearly invisible scar for patients.

Area of Science:

  • Minimally Invasive Gynecologic Surgery
  • Laparoscopic Surgery
  • Gynecologic Oncology

Background:

  • Adnexal masses are common gynecologic conditions requiring surgical evaluation.
  • Traditional laparoscopy involves multiple incisions, potentially leading to visible scarring.
  • Single port access (SPA) laparoscopy aims to reduce surgical invasiveness and improve cosmetic outcomes.

Purpose of the Study:

  • To evaluate the feasibility and safety of single port access (SPA) laparoscopy for adnexal mass management.
  • To assess the operative outcomes and cosmetic results of SPA laparoscopy.
  • To determine the potential of SPA laparoscopy as an alternative to conventional laparoscopic techniques.

Main Methods:

  • A prospective, single-center study involving 24 selected patients with adnexal masses.

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  • All patients underwent single port access laparoscopic adnexal surgery using a wound retractor and surgical glove.
  • Data collected included operative time, blood loss, postoperative hospital stay, and complications.

    • Main Results:

    • SPA laparoscopy was successfully completed in 22 of 24 patients (91.7%).
    • The median operative time was 70 minutes with minimal blood loss.
    • Patients experienced an uneventful postoperative course with a median hospital stay of 1 day and no observed complications.

    Conclusions:

    • Single port access (SPA) laparoscopic adnexal surgery is a safe and feasible procedure.
    • SPA laparoscopy offers excellent operative outcomes and provides a nearly invisible scar.
    • This technique represents a viable minimally invasive option for selected patients with adnexal masses.