Single-port laparoscopic surgery in gynecology—current status

Abstract

The objective of this study is to report the current status on single-port laparoscopic surgery in gynecology. A systematic MEDLINE review of the English language literature from 2007 to 2011 was performed using the search term "single-port surgery," which contained information on single-port laparoscopic surgery in gynecology. Overall, 1,152 patients (26 studies) were included in the analysis. The operative time varied according to the type of procedure. The conversion rate to conventional laparoscopy was 1.99 %, and the conversion rate to laparotomy was 0.35 %. Postoperative complications were encountered in 1.48 % of cases. Different gynecologic procedures have been effectively performed by means of single-port laparoscopic surgery. The procedure seems to be feasible, reproducible, and safe. Reduced pain and improved cosmesis are supposed to be the potential advantages of these procedures, but it was not completely confirmed yet! Further studies are still necessary to establish the real benefits of this new surgical approach over the traditional multi-port laparoscopy.

Ovarian tumor treated by laparoendoscopic single-site surgery through the preexisting paraumbilical hernia: an initial case report

“…Minimally invasive surgery has become a standard of care for the treatment of many benign gynecological diseases. From the fact that each working port carries with it an inherent risk of bleeding, infection, concordant organ damage, and hernia formation and that it decreases cosmetics, the natural goal in minimally invasive surgery is to reduce the number of ports to perform the procedure [1]. LESS surgery is an advancing technique, which involves performing laparoscopic surgery through a single, smallskin incision concealed within the umbilicus.…”

“…Reports of LESS surgery from general surgery and urology have indicated that LESS surgery not only improved cosmetics, but also, in many cases, it resulted in a shorter hospitalized period and decreased postoperative analgesia requirements when compared with conventional laparoscopic approaches. Recently published data suggest feasibility, safety, and reproducibility for LESS surgery in gynecology [1]. There are reports suggesting that patients who undergo LESS surgery have less postoperative pain compared with those who received conventional laparoscopic surgery.…”

“…Its advantages include fast recovery, shorter hospital stay, decreased analgesic requirements, and lower perioperative complications. In recent years, laparoendoscopic single-site (LESS) surgery has become a new branch of surgery that increases cosmetic benefits over traditional endoscopic surgery [1]. Recent reports suggest that LESS surgery has an advantage over conventional laparoscopic surgery in the aspect of postoperative pain and the use of analgesia [2][3][4][5][6].…”