Pregnancy-preserving Laparoendoscopic Single-site Surgery for Gynecologic Disease: A Case Series

Xiao, Jing; Fu, K.A.; Duan, Kristina; Wang, Junling; Sunkara, Sowmya; Guan, Xiaoming

doi:10.1016/j.jmig.2020.02.009

Cited by 16 publications

(22 citation statements)

References 31 publications

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“…We reported 10 cases of adnexal mass removal during pregnancy using SPLS and the obstetric outcomes for each patient were optimal. We have also summarized the literature about the single port approach during pregnancy in Table 4 (8)(9)(10)(11)(12)(13)(14)(15)(16). To our knowledge, only seven studies have reported the use of SPLS for adnexal mass removal during pregnancy (8)(9)(10)(11)(12)(13)(14).…”

Section: Discussionmentioning

confidence: 99%

“…We have also summarized the literature about the single port approach during pregnancy in Table 4 (8)(9)(10)(11)(12)(13)(14)(15)(16). To our knowledge, only seven studies have reported the use of SPLS for adnexal mass removal during pregnancy (8)(9)(10)(11)(12)(13)(14). Jiang et al (8) (11)(12)(13)(14) detailed two, one, nine, and six case reports, respectively, where SPLS was performed on an adnexal mass during pregnancy, and the obstetric outcomes were also good.…”

Section: Discussionmentioning

confidence: 99%

“…We have also summarized the literature about the single port approach during pregnancy in Table 4 ( 8 – 16 ). To our knowledge, only seven studies have reported the use of SPLS for adnexal mass removal during pregnancy ( 8 – 14 ). Jiang et al ( 8 ) reported 15 cases of cystectomy during pregnancy with no instances of missed abortion or preterm birth.…”

Section: Discussionmentioning

confidence: 99%

“…Takeda et al ( 10 ) reported 29 cases of adnexal mass removal during pregnancy, four of which resulted in preterm birth. Scheib et al, Kim et al, Dursun et al, and Xiao et al ( 11 – 14 ) detailed two, one, nine, and six case reports, respectively, where SPLS was performed on an adnexal mass during pregnancy, and the obstetric outcomes were also good.…”

Section: Discussionmentioning

confidence: 99%

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Single-Port Laparoscopic Surgery for Adnexal Mass Removal During Pregnancy: The Initial Experience of a Single Institute

et al. 2022

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ObjectiveSingle-port laparoscopy has become a feasible and safe approach for the management of benign adnexal masses during pregnancy. To our knowledge, there are few reports on the feasibility and safety of single-port laparoscopy for adnexal mass removal during pregnancy. Our study reports the use of single-port laparoscopy in adnexal mass removal during pregnancy in our hospital.MethodsWe included 10 cases of single-port laparoscopic surgery for adnexal mass removal during pregnancy in the West China Second University Hospital between January 2017 and March 2020. Median values were found using SPSS20. When the p-value was <0.05, the median and interquartile range were used. All patients provided informed consent.ResultsThe following median values were recorded: surgical time, 112.50 min; blood loss, 25 ml; postoperative hospital stay, 3 days; postoperative pain [visual analog scale (VAS)] at 6 h, 3; and postoperative pain (VAS) at 24 h, 2. Our study reported no postoperative spontaneous abortions. There was one preterm birth.ConclusionSingle-port laparoscopy appears to be safe for both the mother and the fetus.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Single-Port Laparoscopic Surgery for Adnexal Mass Removal During Pregnancy: The Initial Experience of a Single Institute

et al. 2022

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“…Though widely considered safe and feasible for gynaecologic disease, many clinicians have been hesitant to perform LESS in pregnant women, due to the scarcity of relevant literature and relatively high-quality evidence. Few multicentre studies involving patients undergoing LESS during pregnancy have been reported to date, 10 , 17 and the role of LESS in surgical intervention during pregnancy remains unclear. Thus, the aim of the present study was to investigate the role of LESS during pregnancy, by retrospectively comparing LESS with conventional laparoscopic surgery.…”

Section: Introductionmentioning

confidence: 99%

Laparoendoscopic single-site compared with conventional laparoscopic surgery for gynaecological acute abdomen in pregnant women

et al. 2021

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Objective To estimate the safety and feasibility of laparoendoscopic single-site surgery (LESS) in pregnant patients with acute abdomen. Methods Baseline characteristics, surgical results, and obstetric and neonatal outcomes were retrospectively compared between single and multiport procedures in patients who underwent laparoscopic surgery during pregnancy between 2017 and 2021. Results Fifty-four pregnant patients were included: 26 who underwent LESS (salpingectomy, 11 cases/cystectomy, 15 cases) and 28 who underwent conventional laparoscopic surgeries (salpingectomy, 12 cases/cystectomy, 16 cases) during pregnancy. One patient in the single-port group required additional ports. No patients converted to laparotomy. In patients undergoing salpingectomy, the single-port group showed lower 8- and 24-h postoperative pain scores, shorter hospital stays, and lower Self-rating Anxiety Scale scores prior to discharge versus conventional laparoscopy. One patient experienced postoperative vaginal bleeding and a missed abortion during follow-up. In patients receiving cystectomy, 8- and 24-h pain scores, postoperative hospital stay, and anxiety scores were lower in the single-port versus multiport group. Other outcomes were comparable between the groups. Conclusion The feasibility and efficacy of laparoscopic surgery during pregnancy is similar between single- or multiport routes, however, the single-port route may be associated with less postoperative pain, shorter hospital stay, and lower anxiety.

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Single-port laparoscopic cornuotomy for interstitial pregnancy: A video vignette

Tong

2022

Asian Journal of Surgery

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Pregnancy-preserving Laparoendoscopic Single-site Surgery for Gynecologic Disease: A Case Series

Cited by 16 publications

References 31 publications

Single-Port Laparoscopic Surgery for Adnexal Mass Removal During Pregnancy: The Initial Experience of a Single Institute

Single-Port Laparoscopic Surgery for Adnexal Mass Removal During Pregnancy: The Initial Experience of a Single Institute

Laparoendoscopic single-site compared with conventional laparoscopic surgery for gynaecological acute abdomen in pregnant women

Single-port laparoscopic cornuotomy for interstitial pregnancy: A video vignette

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