Single Incision Laparoscopic Surgery for a Large Endometriotic Cyst

We describe a technique for the treatment of large benign ovarian cysts by single port laparoscopic surgery via the umbilical approach. x-cone single port system (karl storz) was employed in this surgery. prebent atraumatic grasping forceps were used in conjunction with the straight laparoscopic instruments. we propose using a “to-fro” peeling technique in the z-axis in spls cystectomy. combined use of prebent and straight laparoscopic instruments enables the cystectomy to be performed in the z-axis, thereby avoiding instruments crossing and hands collision outside the abdomen. the proposed technique proved to be feasible, easy to employ, and safe in spls cystectomy, with the additional benefi t of superior cosmetic outcome.