Single-incision total laparoscopic hysterectomy with conventional laparoscopy ports
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摘要

Objective

To study the feasibility of performing single-incision total laparoscopic hysterectomy using conventional ports and instruments.

Methods

Patients undergoing laparoscopic surgery at Galaxy Care Laparoscopic Institute, Pune, India, between January 2007 and December 2010 were selected for participation. All procedures were performed using conventional laparoscopic instruments and trocars. Operative data鈥攊ncluding operative time (from incision to port closure), blood loss, additional ports used, energy sources used, and intraoperative complications鈥攚ere recorded.

Results

Twenty-three procedures were performed during the study period. All procedures were completed via single incision only. Operative time, blood loss, and hospital stay were comparable with those associated with conventional laparoscopy.

Conclusion

It is debatable whether laparoscopic surgery via a single incision would threaten the position of the current gold standard of conventional laparoscopic procedures. The present study showed that single-incision laparoscopic surgery using conventional instruments is feasible and effective.

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