AKIMASA ICHINOE    Department   School of Medicine(Tokyo Women's Medical University Adachi Medical Center), School of Medicine    Position   Assistant Professor
Article types	Case report
Language	Japanese
Peer review	Peer reviewed
Title	Successful　management　of　a　large　ovarian　tumor　with　intra－abdominal　adhesions　by　laparoendoscopic　single－site　surgery
Volume, Issue, Page	pp.218-221
Publication date	2017/12
Summary	Laparoendoscopic　single－site　surgery（LESS）has　emerged　as　a　minimally　invasive　surgery　in　the　last　few　decades．　As instruments　are　placed　in－line　during　LESS，　instrument　crowding　becomes　a　clinical　problem；hence，　advanced　skills　are needed　to　perform　this　procedure．　However，　this　in－line　placement　can　produce　a　new　surgical　strategy　in　cases　in which　it　is　difficult　to　perform　multiport　laparoscopic　surgery．　We　present　a　case　of　a　large　ovarian　tumor　with adhesions　between　the　tumor　and　abdominal　wall．　Since　the　adhesions　surrounded　the　port　site　in　the　umbilicus，　we could　not　observe　the　abdominal　cavity　using　endoscopy．　We　inserted　the　instruments　through　the　umbilical　port　and completed　the　dissection　of　adhesions．　Finally，　we　performed　a　bilateral　salping（）－oophorectomy（BSO）in　LESS．