The Journal of Minimally Invasive Gynecology
Volume 17, Issue 1 , Pages 26-29, January 2010

Single-Port Laparoscopic Salpingectomy for the Surgical Treatment of Ectopic Pregnancy

  • Bo Sung Yoon, MD

      Affiliations

    • These author contributed equally to this work.
    • ,
  • Hyun Park, MD

      Affiliations

    • These author contributed equally to this work.
    • ,
  • Seok Ju Seong, MD, PhD

      Affiliations

    • Corresponding Author InformationCorresponding author: Seok Ju Seong MD, PhD, Department of Obstetrics and Gynecology, Gangnam CHA Medical Center, CHA University, 650-9, Yoksam-dong, Gangnam-gu, Seoul, Korea.
    • ,
  • Chong Taik Park, MD
    • ,
  • Sang Won Park, MD
    • ,
  • Kyung Jin Lee, MD

Department of Obstetrics and Gynecology, Gangnam CHA Medical Center, CHA University, Seoul, Korea

Received 28 April 2009; accepted 14 September 2009. published online 19 November 2009.

Abstract 

Study Objective

To evaluate the feasibility of a single-port laparoscopic salpingectomy in the surgical treatment of tubal pregnancy.

Design

Prospective cohort study (Canadian Task Force classification II-2).

Setting

University teaching hospital

Patients

Twenty women with tubal pregnancy, as determined by ultrasonography.

Intervention

All patients have undergone single-port laparoscopic salpingectomy. Entry through a single port was established with a wound retractor as fascial retractor and a surgical glove, which served as the working channels for the laparoscopic equipment. A 30-degree laparoscope and a rigid or flexible grasper were used during the procedure.

Measurements and Main Results

Single-port laparoscopic salpingectomy was successfully performed in all 20 patients with ectopic pregnancy. The median operative time was 55minutes (range 25-85minutes), and blood loss in all patients was minimal. The median difference between preoperative and postoperative hemoglobin was 1.8g/dL (range 0–3.2g/dL). The median postoperative hospital stay was 2 days (range 2-4 days). No complication was encountered, nor was there any need for conversion to conventional laparoscopy.

Conclusions

Single-port laparoscopic salpingectomy is feasible and promising. However, for drawing the definite conclusion of the surgical efficacy, additional investigations to compare this approach with conventional laparoscopy are needed.

Keywords: Single-port, Laparoscopy, Salpingectomy, Scarless, Ectopic pregnancy

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 The authors have no commercial, proprietary, or financial interest in the products or companies described in this article.

PII: S1553-4650(09)01082-6

doi:10.1016/j.jmig.2009.09.008

The Journal of Minimally Invasive Gynecology
Volume 17, Issue 1 , Pages 26-29, January 2010

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