Feasibility of laparoscopic salpingectomy using one port in tubal pregnancy.
- Author:
Hea Ran LEE
1
;
Soo Ye PARK
;
A Ra KO
;
Ji Hyun KIM
;
Seong Cheon YANG
;
Young Han PARK
Author Information
1. Department of Obstetrics and Gynecology, Hallym University College of Medicine, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
One port;
Laparoscopy;
Salpingectomy;
Tubal pregnancy
- MeSH:
Cosmetics;
Female;
Hemoglobins;
Hemoperitoneum;
Humans;
Laparoscopes;
Laparoscopy;
Length of Stay;
Operative Time;
Pregnancy;
Pregnancy, Tubal;
Salpingectomy;
Skin
- From:Korean Journal of Gynecologic Endoscopy and Minimally Invasive Surgery
2012;24(2):84-91
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVE: To evaluate the feasibility of laparoscopic salpingectomy using one-port in tubal pregnancy compared to conventional laparoscopic surgery. METHODS: From June 2008 to June 2011, 63 women were treated with laparoscopic salpingectomy due to tubal pregnancy, which was diagnosed by ultrasonography. These patients were divided into two groups. Of these 63 patients, 32 women were treated with conventional laparoscopic salpingectomy (CLS) in group I, 31 women underwent laparoscopic salpingectomy using one port (OPLS) in group II. In group I, rigid 0degrees or 30degrees, 10 mm laparoscope, rigid instruments were used. In group II, 30degrees, 10 mm laparoscope, rigid or flexible angulated tip instruments were used during the surgery. We reviewed and compared clinical characteristics, clinical outcomes of these patients. RESULTS: Patients in Group I were compatible with the patients in group II in clinical characteristics. Clinical outcomes were not different between two groups in terms of Hemoglobin change (g/dL), hospital stay (days), hemoperitoneum (mL), transfusion. Mean operative time was significantly longer in group II (59.7+/-15.7 min vs. 46.5+/-15.0 min, p=0.001). The mean length of skin incision was obviously shorter in group II; the difference was highly statistically significant (15.5+/-3.0 mm vs 23.5+/-3.0 mm, p<0.001). CONCLUSION: It seems that OPLS is feasible alternative to CLS to treat hemodynamically stable patients without complications. Additionally, this technique also results in better cosmetic outcomes than CLS. Randomized prospective clinical studies with larger scale are necessary in the future to confirm these results.
