The Application of Chopsticks Technique Single-Site Laparoscopic Surgery Technology in Cervical Cancer

Objective To describe the new "chopsticks technique" single-site laparoscopic surgery technology, and to explore the feasibility, safety and peri operative outcome of laparoendoscopic single-site radical hysterectomy and pelvic lymphadenectomy using "chopsticks technique" . Methods From Oct.2016 to Oct. 2017, Patients diagnosed with cervical cancer were prospectively enrolled in obstetrics and Gynecology Department of Southwest Hospital, Third Military Medical University. The demographic characteristics of the patients and the effect of perioperative period were summarized and analyzed. Results 53 cases were operated on, and 52 cases(98%) were successfully completed , and 1 cases were converted to 3-port laparoscopy due stage Ⅳ endometriosis. All the 52 cases were used "chopsticks technique" , of which 40 cases were used "single incision three channel" approach platform, and 12 cases were soft access platform. The median operation time was 212 min, and the average blood loss was 134 ml during the operation. 2 cases of vascular injury and 1 cases of bladder injury occurred in the first 20 cases, and all of them were repaired by single-site laparoscopy during the operation. 1 case of ureteral vaginal fistula occurred 14 days after the operation, and the ureterovesical reimplantation was successfully repaired. Conclusions The "chopsticks technique" single port laparoscopic surgery is feasible for the treatment of cervical cancer. Preliminary clinical observation shows that the perioperative clinical outcomes are similar to those reported by literature. However, in the initial stage of technology, we should pay attention to prevent intraoperative complications. Key words: Cervical cancer; Laparoendoscopic single-site surgery; Radical hysterectomy