Laparoendoscopic single-site surgery for the treatment of benign adnexal disease: A prospective trial

Anna Fagotti, Francesco Fanfani, Cristiano Rossitto, Francesco Marocco, Valerio Gallotta, Federico Romano, Giovanni Scambia

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Abstract

Background. To validate feasibility, efficacy, and safeness of laparoscopic treatment of benign adnexal diseases through a single transumbilical access (LESS) in a prospective series of patients. Methods. A prospective clinical trial including 30 women has been conducted at the Division of Gynecology of Catholic University of Sacred Hearth of Rome. Patients underwent different laparoscopic procedures by LESS utilizing a multiport trocar and conventional straight laparoscopic instrumentation. Intra and perioperative outcome has been reported. Results. Ten mono/bilateral adnexectomies and 20 cystectomies have been performed by LESS approach. Laparoscopic procedures were completed through a single access in 28 cases (93.4%). No major intra- or postoperative complications were observed. Mean hospital stay was 1.3 days. Conclusions. LESS approach is feasible to treat benign adnexal disease with a very low conversion rate and no early or late complications. More clinical data are needed to confirm these advantages compared to standard laparoscopic technique.

Original languageEnglish
Article number108258
JournalDiagnostic and Therapeutic Endoscopy
DOIs
Publication statusPublished - 2010

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ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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