Abstract
Introduction: Transumbilical single-port access laparoscopic surgery has a lower rate of incisional morbidity and a favorable cosmetic outcome. However, the procedure is sometimes difficult to perform because of collision between the forceps and the scope. Therefore, we have used pre-bent forceps and a 5 mm-diameter long scope since April 2012. This study aims to evaluate the feasibility and efficacy of the revised single-port access laparoscopic surgery. Methods: We evaluated 29 cases of transumbilical single-port access total laparoscopic hysterectomy (SPA-TLH) using straight forceps or pre-bent forceps. Results: The pre-bent forceps group had shorter operative times for the procedures of ligating uterine arteries, dividing the cardinal ligament, incising the vaginal wall, and suturing the vaginal stump, compared with the straight forceps group. Conclusion: SPA-TLH using a pre-bent forceps and a 5 mm-diameter long scope could be more feasible, compared with SPA-TLH without such instruments.
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