Laparoendoscopic single-site surgery (LESS) for ovarian cyst enucleation: report of first 3 cases

Fagotti, Anna; Fanfani, Francesco; Marocco, F; Rossitto, Cristiano; Gallotta, Valerio; Scambia, Giovanni

doi:10.1016/j.fertnstert.2009.05.060

Cited by 76 publications

(60 citation statements)

References 22 publications

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“…We point out, however, the fact that the evaluation was only done from information provided by the patients, without the use of objective parameters, such as visual pain scales. Nevertheless, our findings are compatible with the results from a recent study by Fagotti et al 15 In their series of cases, the authors demonstrated that the technique is safe and effective, resulting in a significant reduction of post-operative pain, associated with better esthetic results. 15 The same author compared, in a randomized study, the rate of post-operatory pain among patients who underwent single-port laparoscopy and multiple-port laparoscopy.…”

Section: Resultssupporting

confidence: 93%

“…Nevertheless, our findings are compatible with the results from a recent study by Fagotti et al 15 In their series of cases, the authors demonstrated that the technique is safe and effective, resulting in a significant reduction of post-operative pain, associated with better esthetic results. 15 The same author compared, in a randomized study, the rate of post-operatory pain among patients who underwent single-port laparoscopy and multiple-port laparoscopy. This study included 60 patients with a sonographic diagnosis of benign adnexal mass and negative tumor markers, and found that the patients who underwent single-port surgery presented less pain, better recovery and lower hospitalization costs in relation to multiple-port surgeries.…”

Section: Resultssupporting

confidence: 93%

“…To dodge this limitation, the literature cites auxiliary methods, such as the associated use of an intrauterine handing device, and a combination of long and short instruments, which reduces the friction between them. 15 The results found up until now are positive even for patients with an unfavorable surgical profile, such as those who have had previous abdominal surgeries or who from 42 1 to 79.6 minutes. 15 The average surgical time observed in our study was 94.6 minutes, a value higher to that found in the literature.…”

Section: Discussionmentioning

confidence: 84%

“…15 The results found up until now are positive even for patients with an unfavorable surgical profile, such as those who have had previous abdominal surgeries or who from 42 1 to 79.6 minutes. 15 The average surgical time observed in our study was 94.6 minutes, a value higher to that found in the literature. There are various factors that influence this data.…”

Section: Discussionmentioning

confidence: 84%

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Single-site laparoscopy in gynecology: preliminary study of a series of 50 cases

Filho

Noviello

Damasceno

et al. 2014

Rev. Assoc. Med. Bras.

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Objective: to describe the initial experience of a gynecology team, at a tertiary care center, when performing single-port laparoscopic surgery. Method: this is a retrospective study reviewing the medical records of 50 patients treated at the outpatient gynecology clinic of our institution between June 2012 and July 2013 who underwent single-port laparoscopic surgery. This study was approved by the institution's Ethics in Research Committee. Result: the mean age of patients is 37.8 years, ranging from 18 to 70 years, and the most frequent surgical indications were adnexal mass (72%) and chronic pelvic pain (24%). The mean operative time was 94.4 minutes with a mean hospital stay of 25.8 hours. There were no perioperative complications. We recorded two conversions to laparotomy due to technical difficulties during the procedure. All cases of conversion had pelvic adhesions. All operative complications were successfully treated and none were considered severe. Conclusion: this is one of the largest case series in the literature regarding surgical treatment by single-port laparoscopy in gynecology and presents evidence on reduction of surgical morbidity and satisfactory cosmetic results. We conclude that single-port laparoscopy is a viable minimally invasive technique, and that it contributes to the construction of a new scenario in modern gynecological surgery.

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Section: Resultssupporting

confidence: 93%

Section: Resultssupporting

confidence: 93%

Section: Discussionmentioning

confidence: 84%

Section: Discussionmentioning

confidence: 84%

See 2 more Smart Citations

Single-site laparoscopy in gynecology: preliminary study of a series of 50 cases

Filho

Noviello

Damasceno

et al. 2014

Rev. Assoc. Med. Bras.

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“…5,2012 과의 감소 등의 제한점을 가지고 있다 [6]. 최근 기존의 복강경수술이 필요한 포트의 수를 줄임으로 이에 따른 부작용을 줄이고, 미용효과의 극대화를 위한 시도가 있어왔고 [7][8][9], 산 부인과 영역에서는 1991년 Pelosi와 Pelosi [10]가 처음으로 단일천자 기술로 전자궁절제술과 양측부속기절제술에 적용한 이래 통증 감소 와 회복 기간의 단축, 미용효과 등의 장점이 있어 많은 부인과 질환 및 일부 악성 종양 등 그 적용 영역이 점차 확대되고 있음에도 불구하고 [11] 난소낭종절제술에 대한 단일공수술 기법에 대한 연구는 제한적이 다 [12][13][14]. (Fig.…”

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Single port access versus conventional laparoscopic ovarian cystectomy: Comparison of surgical outcomes

이윤정

김명주

성석주

et al. 2012

Korean J Obstet Gynecol

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ObjectiveThis study was conducted to compare the surgical outcomes between single-port access (SPA) and conventional laparoscopic ovarian cystectomy. MethodsThis retrospective, matched case-control study was performed in 84 cases, who underwent SPA laparoscopic ovarian cystectomy (cases: 28) by a single surgeon and conventional laparoscopic ovarian cystectomy (control: 56) by another surgeon who had similar surgical skill at our hospital between January 2010 and July 2011. ResultsAll procedures were performed successfully in both groups without conversion to explo-laparotomy. There was no significant difference in demographic characteristics including size of ovarian cysts, estimated blood loss (EBL), operation time, hemoglobin change, postoperative hospital stay and number of patients needed extra anti-infl ammatory drugs between two groups. Analysis according to the type of cysts, median EBL (30 mL vs. 100 mL, P = 0.017) was higher in conventional group and operation time (40 minutes vs. 60 minutes, P = 0.004) was also longer in conventional group in case of endometrioma. The EBL, median operation time and postoperative hospital days were similar in both group, but median hemoglobin change was less in conventional group (2.3 g/dL vs. 1.4 g/dL, P = 0.002) in mature cystic teratoma patients. There were no signifi cant difference of surgical outcomes in others group. ConclusionSPA laparoscopic ovarian cystectomy using conventional laparoscopic instruments is feasible, effective and reliable technique, which can substitute conventional laparoscopy.

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Hysteroscopy and Laparoscopy

Magos

Dewhurst's Textbook of Obstetrics &Amp; Gynaecology

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Laparoendoscopic single-site surgery (LESS) for ovarian cyst enucleation: report of first 3 cases

Cited by 76 publications

References 22 publications

Single-site laparoscopy in gynecology: preliminary study of a series of 50 cases

Single-site laparoscopy in gynecology: preliminary study of a series of 50 cases

Single port access versus conventional laparoscopic ovarian cystectomy: Comparison of surgical outcomes

Hysteroscopy and Laparoscopy

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