Two-port laparoscopic ovarian cystectomy using 3-mm instruments

Abstract

Objective: The present study describes the initial experience with incorporating needlescopic instruments in the performance of two-port laparoscopic ovarian cystectomy and discusses the feasibility, safety, and potential benefits of the method. Materials and methods: We evaluated the records of 46 patients who underwent two-port laparoscopic ovarian cystectomy using 3-mm instruments between January 2012 and December 2013. Results: Cases consisted of 25 teratomas, 13 endometriomas, and eight cystadenomas. The mean cyst size and operative time were 6.5 cm (range, 3–11 cm) and 74 minutes (range, 35–120 minutes), respectively. Blood loss was 8.8 mL (range, 5–10 mL). All but one procedure were performed successfully using the needlescopic approach. One patient who underwent ovarian cystectomy for dermoid cyst required a change from a 3-mm to a 5-mm port, but there were no conversions to conventional multiport laparoscopy or open surgery. There were no perioperative complications. Conclusion: Two-port laparoscopic ovarian cystectomy using 3-mm instruments is a feasible and safe approach by which surgeons expert in conventional multiport laparoscopy achieve minimally invasive surgery with low morbidity and a low rate of conversion to the conventional approach.

Keywords

• needlescopic instruments
• needlescopic surgery
• reduced port surgery