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.
| Original language | English |
|---|---|
| Pages (from-to) | 1215-1221 |
| Number of pages | 7 |
| Journal | Surgical Endoscopy and Other Interventional Techniques |
| Volume | 25 |
| Issue number | 4 |
| DOIs | |
| Publication status | Published - Apr 2011 |
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Keywords
- Benign adnexal disease
- Laparoendoscopic single-site surgery
- LESS
- Minimally invasive laparoscopy
- Scarless surgery
- Single port access laparoscopy
- SPA
ASJC Scopus subject areas
- Surgery
Cite this
Laparoendoscopic single-site surgery for the treatment of benign adnexal diseases : A pilot study. / Fagotti, Anna; Fanfani, Francesco; Marocco, Francesco; Rossitto, Cristiano; Gallotta, Valerio; Marana, Elisabetta; Scambia, Giovanni.
In: Surgical Endoscopy and Other Interventional Techniques, Vol. 25, No. 4, 04.2011, p. 1215-1221.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Laparoendoscopic single-site surgery for the treatment of benign adnexal diseases
T2 - A pilot study
AU - Fagotti, Anna
AU - Fanfani, Francesco
AU - Marocco, Francesco
AU - Rossitto, Cristiano
AU - Gallotta, Valerio
AU - Marana, Elisabetta
AU - Scambia, Giovanni
PY - 2011/4
Y1 - 2011/4
N2 - 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.
AB - 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.
KW - Benign adnexal disease
KW - Laparoendoscopic single-site surgery
KW - LESS
KW - Minimally invasive laparoscopy
KW - Scarless surgery
KW - Single port access laparoscopy
KW - SPA
UR - http://www.scopus.com/inward/record.url?scp=79954441393&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=79954441393&partnerID=8YFLogxK
U2 - 10.1007/s00464-010-1346-x
DO - 10.1007/s00464-010-1346-x
M3 - Article
C2 - 20872020
AN - SCOPUS:79954441393
VL - 25
SP - 1215
EP - 1221
JO - Surgical Endoscopy
JF - Surgical Endoscopy
SN - 0930-2794
IS - 4
ER -