- Single port laparoscopic operative interventions in combination of surgical and gynecological pathology
Single port laparoscopic operative interventions in combination of surgical and gynecological pathology
HEALTH OF WOMAN. 2015.8(104):69–72; doi 10.15574/HW.2015.104.72
Single port laparoscopic operative interventions in combination of surgical and gynecological pathology
Stetsenko A. P.
A.A. Bogomolets National Medical University, Kiev
The aim of our study was the analyze of the results of implementing into the work of the surgical clinic single-port transumbilical laparoscopic interventions when surgical and gynecological pathology are combined and requiring the elective surgery.
Materials and methods. Single-port transumbilical laparoscopic surgery (SPLS) were performed in 30 patients with combined surgical and gynecological diseases. The average age of patients was 40.4±5.62 years. We have used the following ports – in 22 (73.34%) patients the device X-Cone™ (Karl Storz, Germany), in 6 (20,00%) – SILS™ (Covidien, USA), and in 1 (3.33%) – SSLAS (Ethicon, USA), and in 1 (3.33%) – QuadroPort™ (Olympus, Japan).
Results. The average time of surgery in 30 patients was 95.47±8.72 min. The shortest duration of simultaneous operations was 40 minutes – cholecystectomy with removal of ovarian cysts, the longest – cholecystectomy with transvaginal hysterectomy – 230 min.
Mean hospital stay was for all groups of patients different duration: 1.21±0,05 day – in patients with cholecystectomy and removal of ovarian cysts; 3.11 days in patients with cholecystectomy and transvaginal hysterectomy. Neither early nor late postoperative complications we have not observed.
Conclusions. Using the single-port technique seems to be the most reasonable in the combined surgical and gynecological pathologies, as this technique allows to conduct surgery on different floors of the abdominal cavity without additional incisions and trocars.
Key words: calculous cholecystitis, ovarian cysts, uterine leiomyoma, single-port transumbilical laparoscopic surgery, laparoscopic surgery.
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