J Gynecol Oncol.  2011 Jun;22(2):127-130. 10.3802/jgo.2011.22.2.127.

Single-port access laparoscopic staging operation for a borderline ovarian tumor

• Yoon A
• Kim TJ
• Lee WS
• Kim BG
• Bae DS

• KMID: 2288577
• DOI: http://doi.org/10.3802/jgo.2011.22.2.127

Abstract

Minimally invasive surgery is widely used in benign gynecologic diseases and may be used in malignancies. We performed a single-port access laparoscopy staging - bilateral salpingo-oophorectomy, laparoscopy-assisted vaginal hysterectomy, bilateral pelvic lymphadenectomy, infracolic omentectomy, and washing cytology - in a borderline ovarian tumor. The number of harvested pelvic lymph nodes were twenty-three and there were no intraoperative or postoperative complications. Single-port access laparoscopic staging may be performed in selected patients. The efficacy, safety, and potential benefits of this technique should be evaluated in further trials.

Keyword

Borderline ovarian tumor; Laparoscopy; Single-port; Staging operation

MeSH Terms

Female
Genital Diseases, Female
Humans
Hysterectomy, Vaginal
Laparoscopy
Lymph Node Excision
Lymph Nodes
Postoperative Complications

Figure

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  Fig. 1 Preoperative transvaginal ultrasound imaging showing right ovarian cyst.

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  Fig. 2 Intraoperative laparoscopic view of pelvic lymph node dissection manipulating a harmonic scalpel in right hand and a roticular dissector in left hand.

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  Fig. 3 Laparoscopic view showing right and left pelvic lymphadenectomy state.

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  Fig. 4 Postoperative abdominal wall showing single three-channel subumbilical incision and a suprapubic drain.

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