{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T13:15:55Z","timestamp":1775481355506,"version":"3.50.1"},"reference-count":22,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,11,27]],"date-time":"2023-11-27T00:00:00Z","timestamp":1701043200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Asian J Endoscop Surgery"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate the safety and feasibility of single\u2010port laparoscopy during pregnancy in short term and long term.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A multicenter retrospective study was conducted to investigate the clinical data of 38 pregnant women with adnexal masses who underwent transumbilical single\u2010port laparoscopic surgery from January 2017 to March 10, 2023.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mean operation time was 72.7\u2009\u00b1\u200929.6 (30\u2013160) min. The mean intraoperative blood loss was 30.5\u2009\u00b1\u200980.4\u2009mL, the mean postoperative first defecation time was 2.5\u2009\u00b1\u20090.7\u2009days, and the mean total hospital stay was 6.9\u2009\u00b1\u20091.4\u2009days. 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\u2009weeks and 5\u2009days of gestation, and the other patients did not develop adverse events after surgery. Mean birth weight was 3322.3\u2009\u00b1\u2009396.3\u2009g. The fetal heart rate was 139\u2009\u00b1\u20096.4\u2009bpm before operation and 149\u2009\u00b1\u20092.7\u2009bpm after operation. The APGAR score at 1 and 10\u2009min was 9.2\u2009\u00b1\u20090.6 points and 9.9\u2009\u00b1\u20090.2 points, respectively. The mean follow\u2010up time was 23.9\u2009\u00b1\u200916.1 (4.7\u201356) 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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>It is safe, practical, and worthwhile to promote transumbilical single port laparoscopic surgery for pregnancies with adnexal masses in both short and long term.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ases.13265","type":"journal-article","created":{"date-parts":[[2023,11,28]],"date-time":"2023-11-28T00:45:06Z","timestamp":1701132306000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Application of transumbilical single port laparoscopic surgery for adnexal masses in pregnancy"],"prefix":"10.1111","volume":"17","author":[{"given":"Yuhui","family":"Jiang","sequence":"first","affiliation":[{"name":"School of Medicine Southeast University  Nanjing Jiangsu China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bo","family":"Ding","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Zhongda Hospital, School of Medicine, Southeast University  Nanjing Jiangsu China"},{"name":"Institute of Women's Life and Health Southeast University  Nanjing Jiangsu China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Haiwei","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology The First People's Hospital of Zhangjiagang  Zhangjiagang Jiangsu China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chunhua","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology The Huai'an Maternity and 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