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

Anna Fagotti, Francesco Fanfani, Francesco Marocco, Cristiano Rossitto, Valerio Gallotta, Elisabetta Marana, Giovanni Scambia

Research output: Contribution to journalArticlepeer-review


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.

Original languageEnglish
Pages (from-to)1215-1221
Number of pages7
JournalSurgical Endoscopy and Other Interventional Techniques
Issue number4
Publication statusPublished - Apr 2011


  • Benign adnexal disease
  • Laparoendoscopic single-site surgery
  • LESS
  • Minimally invasive laparoscopy
  • Scarless surgery
  • Single port access laparoscopy
  • SPA

ASJC Scopus subject areas

  • Surgery


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