Laparoendoscopic Single Site Surgery for the Treatment of Huge Ovarian Cysts Using an Angiocatheter Needle
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Purpose: The aim of this study was to evaluate the feasibility and safety of laparoendoscopic single site (LESS) surgery using anangiocatheter needle in patients with huge ovarian cysts (diameter ≥15 cm). Materials and Methods: Thirty-one patients with huge ovarian cysts underwent LESS surgery using an angiocatheter needle betweenMarch 2011 and August 2016. An intra-umbilical vertical incision (1.5–2.0 cm) was made in the midline. After the cyst wallwas punctured using an angiocatheter needle, the fluid contents were aspirated with a connected vacuum aspirator. After placinga Glove port in the umbilical incision, LESS surgery was performed using a rigid 0-degree, 5-mm laparoscope and conventional, rigid,straight laparoscopic instruments. Knife-in-bag morcellation was instituted for specimen collection. Results: The median maximal diameter of ovarian cysts was 18 cm (range, 15–30 cm), the median operation time was 150 minutes(range, 80–520 minutes), and the median volume of blood loss was 100 mL (range, 20–800 mL). Three patients (9.7%) werediagnosed with malignant ovarian cancer using intraoperative frozen examination, and 1 patient was converted to laparotomy dueto advanced disease. Thirty patients underwent LESS, and there was no need for an additional laparoscopic port. Conclusion: LESS surgery using an angiocatheter needle, with leaving only a small postoperative scar, was deemed feasible forthe management of huge ovarian cysts.
Abstract
Purpose: The aim of this study was to evaluate the feasibility and safety of laparoendoscopic single site (LESS) surgery using anangiocatheter needle in patients with huge ovarian cysts (diameter ≥15 cm). Materials and Methods: Thirty-one patients with huge ovarian cysts underwent LESS surgery using an angiocatheter needle betweenMarch 2011 and August 2016. An intra-umbilical vertical incision (1.5–2.0 cm) was made in the midline. After the cyst wallwas punctured using an angiocatheter needle, the fluid contents were aspirated with a connected vacuum aspirator. After placinga Glove port in the umbilical incision, LESS surgery was performed using a rigid 0-degree, 5-mm laparoscope and conventional, rigid,straight laparoscopic instruments. Knife-in-bag morcellation was instituted for specimen collection. Results: The median maximal diameter of ovarian cysts was 18 cm (range, 15–30 cm), the median operation time was 150 minutes(range, 80–520 minutes), and the median volume of blood loss was 100 mL (range, 20–800 mL). Three patients (9.7%) werediagnosed with malignant ovarian cancer using intraoperative frozen examination, and 1 patient was converted to laparotomy dueto advanced disease. Thirty patients underwent LESS, and there was no need for an additional laparoscopic port. Conclusion: LESS surgery using an angiocatheter needle, with leaving only a small postoperative scar, was deemed feasible forthe management of huge ovarian cysts.
참고문헌 (18)
- Padilla LA, "Accuracy of the pelvic examination in detecting adnexal masses", Obstet Gynecol, 96, pp.593~598 (2000)
- Vizza E, "Use of SAND balloon catheter for laparoscopic management of extremely large ovarian cysts", J Minim Invasive Gynecol, 18, pp.779~784 (2011)
- Eltabbakh GH, "Laparoscopic surgery for large benign ovarian cysts", Gynecol Oncol, 108, pp.72~76 (2008)
- Ramirez PT, "Laparoscopic port-site metastases in patients with gynecological malignancies", Int J Gynecol Cancer, 14, pp.1070~1077 (2004)
- Huang KG, "Management of port-site metastasis after laparoscopic surgery for ovarian cancer", Am J Obstet Gynecol, 189, pp.16~21 (2003)
- Hopkins MP, "Laparoscopic port site implantation with ovarian cancer", Am J Obstet Gynecol, 182, pp.735~736 (2000)
- Fader AN, "Laparoendoscopic single-site surgery(LESS)in gynecology : a multi-institutional evaluation", Am J Obstet Gynecol, 203, pp.501~ (2010)
- Takeda A, "Management of large adnexal tumors by isobaric laparoendoscopic single-site surgery with a wound retractor", Eur J Obstet Gynecol Reprod Biol, 166, pp.185~189 (2013)
- Vlahos NF, "Laparoscopic management of large ovarian cysts", Surg Innov, 19, pp.370~374 (2012)
- Song T, "Laparoendoscopic single-site surgery for extremely large ovarian cysts : a feasibility, safety, and patient satisfaction study", Gynecol Obstet Invest, 78, pp.81~87 (2014)
- Yi SW, "Minimally invasive management of huge ovarian cysts by laparoscopic extracorporeal approach", Minim Invasive Ther Allied Technol, 21, pp.429~434 (2012)
- Kim WC, "Single-port transumbilical laparoscopicassisted adnexal surgery", JSLS, 15, pp.222~227 (2011)
- Lee LC, "An easy new approach to the laparoscopic treatment of large adnexal cysts", Minim Invasive Ther Allied Technol, 20, pp.150~154 (2011)
- Hong JH, "Laparoscopic management of large ovarian tumors : clinical tips for overcoming common concerns", J Obstet Gynaecol Res, 38, pp.9~15 (2012)
- Moulton LJ, "Postoperative outcomes after single-port laparoscopic removal of adnexal masses in patients referred to gynecologic oncology at a large academic center", J Minim Invasive Gynecol, 24, pp.1136~1144 (2017)
- Song MJ, "Single port gasless laparoscopy-assisted mini-laparotomic ovarian resection(SP-GLAMOR) : reasonable treatment for large cystic ovarian tumors with suspicion of malignancy", Gynecol Oncol, 132, pp.119~124 (2014)
- Sagiv R, "Laparoscopic management of extremely large ovarian cysts", Obstet Gynecol, 105, pp.1319~1322 (2005)
- Ming-Chen Ba, "Port-Site Metastases and Chimney Effect of B-Ultrasound-Guided and Laparoscopically-Assisted Hyperthermic Intraperitoneal Perfusion Chemotherapy", Yonsei Medical Journal, 58(3), pp.497~504 (2017), 연세대학교의과대학[DOI]