Single-port transumbilical laparoscopic-assisted adnexal surgery

Area of Science:

• Minimally Invasive Gynecologic Surgery
• Surgical Oncology
• Reproductive Medicine

Background:

• Large adnexal tumors (>8cm) traditionally pose surgical challenges.
• Conventional open laparotomy or standard laparoscopy may be associated with significant morbidity.
• Exploring novel minimally invasive techniques is crucial for improving patient outcomes.

Purpose of the Study:

• To assess the efficiency and feasibility of single-port access transumbilical laparoscopic-assisted surgery.
• To evaluate this technique specifically for patients with large (>8cm) adnexal tumors.
• To report the initial clinical experience and outcomes of this surgical approach.

Main Methods:

• A prospective study of 22 patients with presumed benign adnexal tumors.
• Utilized single-port access transumbilical laparoscopic-assisted surgery with extracorporeal tumor exteriorization.
• Emphasized preservation of ovarian tissue during the procedure via laparoscopic guidance.

Main Results:

• Successful completion in 20 out of 22 cases (90.9%).
• Median operative time was 50 minutes with a median blood loss of 38mL.
• No major postoperative complications; two cases required minor adjustments (additional trocar, drainage).

Conclusions:

• Single-port access transumbilical laparoscopic-assisted surgery is a feasible technique for benign, large adnexal tumors.
• This approach can serve as a viable alternative to open laparotomy and conventional laparoscopy.
• Offers potential benefits in terms of minimally invasive access and tissue preservation.