Single-Incision Laparoscopic Surgery: Broaden the Implication of Minimally Invasive Surgery to Women with Prior Renal Transplant

Abstract

To introduced the potential advantage of single-incision laparoscopic surgery (SILS) in gynecologic patients with prior renal transplant and history of multi-previous abdominal surgeries. Cases series. A tertiary hospital. Two women, one with benign adnexal disease after renal transplant and abdominal surgery, the other one with endometrial adenocarcinoma after renal transplant and two previous abdominal surgeries, all scheduled for surgical treatment. SILS. Peri-operative outcomes were measured. One patient with benign adnexal disease and myomas, was performed total hysterectomy and bilateral salpingo-oophorectomy using the SILS. The total operative time was 135minutes, and the estimated blood loss was 20mL. The other patient with endometrial adenocarcinoma was performed endometrial cancer staging, including abdominal cavity washings, vaginal assisted laparoscopic radical hysterectomy with bilateral salpingo-oophorectomy, and right pelvic node dissection. The total operative time was 230minutes, and the estimated blood loss was 100mL. Single-incision laparoscopic surgery (SILS), with one incision but multi-channel for laparoscopic instruments, provides the opportunity of minimally invasive surgery without increased risk of morbidities associated with multiple incisions, especially for the patients with prior renal transplant and history of multi-previous abdominal surgeries.