Application of transumbilical single port laparoscopic surgery for adnexal masses in pregnancy

ObjectiveTo evaluate the safety and feasibility of single-port laparoscopy during pregnancy in short term and long term.MethodsA multicenter retrospective study was conducted to investigate the clinical data of 38 pregnant women with adnexal masses who underwent transumbilical single-port laparoscopic surgery from January 2017 to March 10, 2023.ResultsThe mean operation time was 72.7 +/- 29.6 (30-160) min. The mean intraoperative blood loss was 30.5 +/- 80.4 mL, the mean postoperative first defecation time was 2.5 +/- 0.7 days, and the mean total hospital stay was 6.9 +/- 1.4 days. None of the patients used analgesic drugs postoperatively. Two patients developed missed abortions within 1 month of surgery, one underwent induction of labor due to a dead fetus at 24 weeks and 5 days of gestation, and the other patients did not develop adverse events after surgery. Mean birth weight was 3322.3 +/- 396.3 g. The fetal heart rate was 139 +/- 6.4 bpm before operation and 149 +/- 2.7 bpm after operation. The APGAR score at 1 and 10 min was 9.2 +/- 0.6 points and 9.9 +/- 0.2 points, respectively. The mean follow-up time was 23.9 +/- 16.1 (4.7-56) months, 90% (27/30) of the children had moderate developmental quotient, and 10% (3/30) of the children had good developmental quotient, without borderline low developmental quotient or mental retardation.ConclusionIt is safe, practical, and worthwhile to promote transumbilical single port laparoscopic surgery for pregnancies with adnexal masses in both short and long term.