Korean J Obstet Gynecol.  2010 Aug;53(8):720-726. 10.5468/kjog.2010.53.8.720.

Transumbilical single-port access laparoscopic surgery of ectopic pregnancy

Affiliations
  • 1Department of Obstetrics and Gynecology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
  • 2Department of Obstetrics and Gynecology, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea. dryu0210@naver.com

Abstract


OBJECTIVE
To evaluate the effectiveness of transumbilical single-port access laparoscopic surgery of ectopic pregnancy.
METHODS
Retrospective analysis was performed on six patients who underwent transumbilical single-port access laparoscopic management of ectopic pregnancies.
RESULTS
The median age of 6 cases was 33.5 years (range, 32 to 36), and the median body mass index was 20.6 kg/m2 (range, 16.5 to 28.7). The median largest diameter of G-sac was 4.8 cm (range, 3.0 to 5.4). Intracorporeal rupture and hemoperitoneum were accompanied in all cases. The median time needed for the surgery was 77.5 minutes (range, 59 to 95). The median estimated blood loss was 40 mL (range, 20 to 50). The median postoperative hospital day was 2 days (range, 1 to 3). There were no complications on postoperative course and follow-up.
CONCLUSION
Transumbilical single-port access laparoscopic surgery for ectopic pregnancy was feasible and safe. This approach might be reasonable alternative to conventional laparoscopic surgery using 3 or 4 port in the management of ectopic pregnancy.

Keyword

Single-port access; Multi-channel port; Ectopic pregnancy; Laparoscopy
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