Abstract
Laparoscopic surgery, which leaves small scars, is esthetic and minimally invasive. Recently, reduced port laparoscopic surgery (RPLS) including single-port laparoscopic surgery (SPLS), which further minimizes the invasiveness, has been attracting attention. In the field of gynecology, in particular, since all patients are female, the esthetic aspects should be given special consideration.
The laparoscope was first used for observation of the abdominal cavity. In the field of gynecology, the laparoscope was often used to confirm tubal patency and adhesions of the tubes to surrounding tissues, and to perform tests for infertility. Laparoscopic surgery was first performed for an appendectomy in 1981 by Semm, a gynecologist in Germany who developed an automatic pneumoperitoneum apparatus and later performed laparoscopic cholecystectomy. Initially, laparoscopic surgery was commonly performed using three ports: a port for the scope at the umbilicus, and one each in the right and left inguinal regions. However, if a surgeon wanted to use two pairs of forceps for adhesiolysis, sutures, etc., another port could be added.
RPLS represents an attempt to minimize the invasiveness of laparoscopic surgery by reducing the usual number of four ports, including the additional port placed to achieve better manipulability.
This chapter aims to describe the current status, characteristics, and problems of RPLS and SPLS in gynecology, as well as discuss unique surgical procedures based on these characteristics.
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Acknowledgments
We would like to express our appreciation to Prof. Motoo Yamagata for giving us the opportunity to write this chapter.
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Kikuchi, I., Kumakiri, J., Saito, J., Ujihira, Y., Takeda, S. (2014). Gynecology. In: Mori, T., Dapri, G. (eds) Reduced Port Laparoscopic Surgery. Springer, Tokyo. https://doi.org/10.1007/978-4-431-54601-6_41
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DOI: https://doi.org/10.1007/978-4-431-54601-6_41
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