The practice and consideration of single-site laparoscopic operation during pregnancy

doi:10.3877/cma.j.issn.1674-6899.2024.05.002

Abstract

Abstract:

Non-obstetrical abdominal surgery is required in approximately 1 in 500 pregnant women.Previously， open surgery was preferred during pregnancy. With the development of laparoscopic devices and improved surgical techniques， laparoscopy has been recommended as a safe， minimally invasive approach for abdominal surgery throughout pregnancy. Laparoendoscopic single-site surgery （LESS） is a minimally invasive surgical technique via a single incision， which has been widely used in many fields including gynecologic surgery. Several advantages of LESS over multiport laparoscopy during pregnancy have been indicated， such as the advantages of less incision， good cosmetic effect， less postoperative pain and quick recovery. Several studies have confirmed the safety and feasibility of LESS surgery in pregnancy. Patients with acute abdomen during pregnancy， potentially malignant or malignant adnexal masses， and persistent benign adnexal masses with a tendency to increase in size require surgical treatment， non-emergency surgery is recommended for the second trimester of pregnancy. Based on 38 pregnant women with adnexal masses who underwent LESS surgery， our team summarize the operative skills and precautions of monopole laparoscopy during pregnancy. In conclusion， LESS administered by an experienced physician during pregnancy seems to be a safe and feasible approach.

Key words: Laparoendoscopic single-site surgery, Pregnancy, Adnexal masses

Jingyun Xu, Bo Ding, Yuhui Jiang, Yang Shen. The practice and consideration of single-site laparoscopic operation during pregnancy[J]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2024, 17(05): 262-266.

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URL: https://zhqjwkzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-6899.2024.05.002

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