Single-Port Laparoscopic Salpingectomy for the Surgical Treatment of Ectopic Pregnancy
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.
Department of Obstetrics and Gynecology, Gangnam CHA Medical Center, CHA University, Seoul, Korea
Corresponding 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.
The authors have no commercial, proprietary, or financial interest in the products or companies described in this article.
ABSTRACT