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Objective: The purpose of this study was to assess the safety, operative outcomes and cosmetic value of 2-port laparoscopic surgery using the MiniLap Alligator Grasper. Design: Retrospective Study Setting: General Hospital Patients: We performed laparoscopic surgery for 22 patients presenting with unilateral adnexal masses from June 2010 to August 2011. Thirteen of the 22 patients underwent traditional 4-port laparoscopic surgery, while 4 patients underwent 2port laparoscopic surgery using the MiniLap Alligator Grasper, and 5 patients underwent single-port laparoscopic surgery. The surgical procedures included salpingo-oophorectomy (n=9) and ovarian cystectomy (n=13). The clinical diagnoses consisted of endometriotic cyst (n=6), mature cystic teratoma (n=12) and serous cystadenoma (n=4). Results: The average operative times for 4-port, 2-port, and single-port laparoscopic salpingo-oophorectomy were 71.7 (41119) minutes, 73 minutes, and 82.4 (53-150) minutes, respectively. The average operative times for 4-port and 2port laparoscopic cystectomy for endometriotic cyst were 63.7 (36-113) minutes and 80 (68-92) minutes, respectively. The average operative times for 4-port and 2-port laparoscopic cystectomy for mature cystic teratoma were 50.7 (26-70) minutes and 55 minutes, respectively. The intraoperative procedures associated with 2-port laparoscopic surgery were easier to perform than those related to single-port laparoscopic surgery. The length of the surgical incision of the MiniLap Alligator Grasper was 2 mm, and it resulted in almost no visual scar when examined at 1 month after the operation. Conclusion: The operative time and intraoperative procedures of 2-port laparoscopic surgery are not inferior to that of 4port laparoscopic surgery. As a result, 2-port laparoscopic surgery using the MiniLap Alligator Grasper is thus considered to be equivalent to single-port laparoscopic surgery in cosmetic value.

A novel modification of 2-port laparoscopic surgery using MiniLap Alligator Grasper