Perioperative Outcomes of Laparoendoscopic Single-Site Surgery (LESS) Versus Conventional Laparoscopy for Adnexal Disease: A Case-Control Study

Anna Fagotti, Cristiano Rossitto, Francesco Marocco, Valerio Gallotta, Carolina Bottoni, Giovanni Scambia, Francesco Fanfani

Research output: Contribution to journalArticle


Objective: This study aimed to evaluate the potential advantages of laparoendoscopic single-site surgery (LESS) approach with respect to conventional laparoscopy. Methods: Thirty LESS patients were matched 2:1 with a previous cohort of 58 patients undergoing conventional laparoscopy for the same type of surgery (controls). Results: Median operative time (38.5 vs 54 minutes; P =.09) and estimated blood loss (20 vs 30 mL; P =.008) were more favorable in patients undergoing LESS treatment compared with those undergoing conventional laparoscopy. Rupture of the cyst was observed in 11 out of 30 cases (36.6%) and 26 of 58 controls (44.8%; P =.46). Median length of stay was 1 day in the cases and 2 in the controls (P =.03). Conclusions: Decreases in operative time, estimated blood loss, or length of stay should not be considered a benefit attributable to LESS; rather it seems there are no differences between these 2 surgical approaches after an adequate selection of patients.

Original languageEnglish
Pages (from-to)29-33
Number of pages5
JournalSurgical Innovation
Issue number1
Publication statusPublished - Mar 2011



  • adnexal disease
  • laparoendoscopic single-site surgery (LESS)
  • minimal invasive laparoscopy
  • scarless surgery
  • single-port access (SPA)

ASJC Scopus subject areas

  • Surgery

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