Study objective: To determine the complications associated with single-incision laparoscopy in gynecologic oncology surgery.
Design: A retrospective cohort (Canadian Task Force classification II-3).
Setting: A single academic institution.
Patients: One hundred fifteen consecutive patients undergoing single-incision laparoscopy with suspected gynecologic oncology conditions.
Interventions: Single-incision laparoscopy.
Measurements and main results: One hundred fifteen patients underwent single-incision laparoscopy. The mean age was 55.3 ± 13.1 years. For procedures completed via single-incision laparoscopy (102/115 [88.7%]), the mean operative time was 130.7 ± 55.5 minutes. The average blood loss was 63 ± 111 mL. The conversion to open rate was 13 of 115 (12.17%). The conversion rate of the 55 patients with benign conditions was lower (2/55 [3.64%]) compared with the 60 patients with malignant conditions (11/60 [18.33%]). The hernia rate was 2 of 115 (1.80%), 1 of which was a recurrent hernia. The median time for follow-up was 30 days (range, 5-653 days).
Conclusion: Single-incision laparoscopy provides a feasible, safe, and promising minimally invasive modality for treating gynecologic oncology patients.
Keywords: Gynecology oncology; LaparoEndoscopic Singe Site Surgery; Single incision; Single port.
Copyright © 2016 AAGL. Published by Elsevier Inc. All rights reserved.