Laparoendoscopic single-site surgery for the treatment of benign adnexal diseases: a pilot study.

Abstract

BACKGROUND:

This study aimed to validate the feasibility, efficacy, and safeness of laparoscopic treatment for benign adnexal diseases through a single transumbilical access in a prospective series of patients.

METHODS:

A prospective clinical trial including 30 women was conducted in our teaching and research division. Patients underwent different laparoscopic procedures by the laparoendoscopic single-site (LESS) approach using a multiport trocar, conventional laparoscopic instrumentation, and standardized surgical technique, with evaluation of the multiaccess conversion rate.

RESULTS:

The patients underwent different laparoscopic procedures (10 bilateral adnexectomies; 22 cystectomies, and 3 chromosalpingographies) by the LESS approach using a multiport trocar and conventional laparoscopic instrumentation with standardization of this innovative minimally invasive technique. The laparoscopic procedures were completed through a single access in 28 cases (93.4%). In two cases, at the end of the intervention, hemostasis required one additional sovra-pubic access. No major intra- or postoperative complications were observed. The mean hospital stay was 1.3 days.

CONCLUSIONS:

The results of this study suggest the feasibility of the LESS approach in gynecologic surgery with a low conversion rate for multi-access laparoscopy, a rapid learning curve, limited complications, and good results in terms of cosmesis and postoperative pain. More clinical data are needed to confirm these advantages over standard laparoscopic technique.

• Authors: Anna Fagotti, Francesco Fanfani, Francesco Marocco, Cristiano Rossitto, Valerio Gallotta, Elisabetta Marana, Giovanni Scambia
• Journal: Surgical endoscopy (Surg Endosc) Vol. 25 Issue 4 Pg. 1215-21 (Apr 2011) ISSN: 1432-2218 [Electronic] Germany
• PMID: 20872020 (Publication Type: Clinical Trial, Journal Article)

Topics

• Adnexal Diseases (surgery)
• Adult
• Aged
• Esthetics
• Feasibility Studies
• Female
• Follow-Up Studies
• Humans
• Laparoscopy (methods)
• Learning Curve
• Middle Aged
• Pain, Postoperative (epidemiology)
• Patient Satisfaction
• Pilot Projects
• Postoperative Complications (epidemiology)
• Umbilicus
• Young Adult