First single-incision type 7 total laparoscopic hysterectomy, adnexectomy, and appendectomy

摘要

We report two cases of use of a single umbilical skin incision for a type 7 total laparoscopic hysterectomy, bilateral salpingo-oophorectomy, and appendectomy. This study is a retrospective chart review and discussion of two patients who underwent a total laparoscopic hysterectomy, bilateral salpingo-oophorectomy, and appendectomy (Canadian Task Force Level III). Both patients underwent a type 7 total laparoscopic hysterectomy for benign indications in July 2007 and sustained no complications. The evidence from these two cases suggests that advanced laparoscopic procedures are possible using a single skin incision for multiple ports. Technological advances, including those in port structure, are needed to enable surgeons to employ strategies that effectively enhance instrument coordination and suturing. Benefits to the patient need to be documented prospectively before this procedure can be recommended widely.