Laparoscopy using the left upper quadrant approach.

STUDY

OBJECTIVE

To describe a technique of laparoscopy and multiport operative pelviscopy using left upper quadrant primary port insertion.

DESIGN

Retrospective evaluation (Canadian Task Force classification II-2).

SETTING

Private gynecologic oncology practice.

PATIENTS: Ninety women with a history of gynecologic cancer and at least one laparotomy.

INTERVENTIONS: Laparoscopy and operative pelviscopy.

MEASUREMENTS AND MAIN

RESULTS

The procedure was performed using the left upper quadrant as a single entry site for the Veress needle and primary laparoscopy port. In 88 women it was performed without complication. One woman experienced transverse colon injury from primary port insertion, which was repaired immediately by laparotomy. A second patient had a rectosigmoid injury that required temporary colostomy at laparotomy.

CONCLUSION

Operative laparoscopy using the left upper quadrant approach seems to be safe in patients with advanced gynecologic malignancy. (J Am Assoc Gynecol Laparosc 6(3):323-325, 1999)