Laparoscopic sacrocolpopexy using reduced port surgery technique Kimihiko MASUI 1 , Hikari OTSUKA 1 , Kodai HATTAHARA 2 , Akihiro HAMADA 2 , Yasumasa SHICHIRI 1 1Department of Urology, Otsu City Hospital 2Department of Urology, Kyoto University Keyword: 骨盤臓器脱 , 腹腔鏡下仙骨腟固定術 , reduced port surgery pp.445-451
Published Date 2019/9/15
DOI https://doi.org/10.11477/mf.4426200740
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 Laparoscopic sacrocolpopexy (LSC) is one of the standard treatments for pelvic organ prolapse. We herein report our LSC procedures using reduced port surgery (RPS) technique which we have experienced since 2017. The GelPoint® mini multichannel platform was placed through a vertical 25-mm umbilical skin incision. Subsequently another 5-mm port was placed on the left flank region. To keep a clear surgical field, extracorporeal traction of sigmoid colon and rectum was performed using Endo CloseTM trocar site closure device. Though laparoendoscopic single-site surgery LSC(LESS-LSC) demands more technical difficulties than multiport LSC, by adding just another 5-mm port to LESS-LSC we can perform RPS-LSC with the same level of difficulties and less invasiveness compared with multiport LSC. RPS-LSC was supposed to be a useful technique for female surgery which showed cosmetical superiority to multiport LSC.

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