Single-Port Laparoscopy vs Conventional Laparoscopy in Benign Adnexal Diseases: A Systematic Review and Meta-Analysis

Schmitt, Andy; Crochet, Patrice; Knight, Sophie; Tourette, Claire; Loundou, Anderson; Agostini, Aubert

doi:10.1016/j.jmig.2017.07.001

Cited by 44 publications

(47 citation statements)

References 40 publications

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“…YH Park was the first person who reported that he use a homemade single port device to perform laparoendoscopic single-site nephrectomy [11]. Several meta-analysis researches have been published on the safety and efficacy of LESS in recent years [9,[12][13][14]. However, it has been unclear whether LESS offers benefits over multiport LH.…”

Section: Discussionmentioning

confidence: 99%

[Retracted] Outcome of Gynecologic Laparoendoscopic Single‐Site Surgery with a Homemade Device and Conventional Laparoscopic Instruments in a Chinese Teaching Hospital

Jin

Wen

et al. 2020

BioMed Research International

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Objective. To demonstrate various benign gynecologic diseases that can be performed by laparoendoscopic single-site surgery (LESS) with conventional laparoscopic instruments. Method. Patients with benign gynecologic diseases that need ovarian cystectomy, fallopian tube resection, or myomectomy were divided into experimental group and control group, and perioperative outcomes of these patients were analyzed. Results. From November 2017 to May 2018, 65 LESS gynecological surgeries were performed, among which there were 25 ovarian cystectomies, 28 unilateral fallopian tube resections, and 12 myomectomies. All the surgeries were completed smoothly, and only one surgery needed one more additional port. No patients have severe complications. Operative time, intraoperative blood loss, and perioperative complications have no difference between the two groups. The LESS laparoscopy group had less postoperative pain scores and longer bowel recovering time, compared with the conventional laparoscopy group (<0.05). Conclusion. Compared with traditional laparoscopy, LESS surgery with conventional laparoscopic instruments is feasible and safe, but postoperative exhaust time is longer than the control group.

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Section: Discussionmentioning

confidence: 99%

[Retracted] Outcome of Gynecologic Laparoendoscopic Single‐Site Surgery with a Homemade Device and Conventional Laparoscopic Instruments in a Chinese Teaching Hospital

Jin

Wen

et al. 2020

BioMed Research International

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“…This enables only one incision to be used instead of three. Among the advantages of single-port laparoscopy better cosmesis, lower pain levels, and a smaller number of complications are usually mentioned [9][10][11]. Based on the current European Hernia Society guidelines, the methods of choice for the treatment of inguinal hernia are the Lichtenstein and totally extra peritoneal (TEP) repairs [12].…”

Section: Introductionmentioning

confidence: 99%

A comparison of the oxidative stress response in single-incision laparoscopic versus multi-trocar laparoscopic totally extraperitoneal inguinal hernia repair.

Białecki¹,

Myszka

Wysocka

et al. 2020

Videosurgery and Other Miniinvasive Techniques

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Introduction Surgical treatment is always associated with tissue damage and the subsequent development of oxidative stress. Aim To compare the oxidative stress response in patients treated operatively for inguinal hernia with multi-trocar laparoscopic totally extraperitoneal technique (TEP) or single-incision laparoscopic totally extraperitoneal technique (TEP-SI). Material and methods A randomized group of 34 patients with one-sided inguinal hernia was enrolled in the study. Seventeen patients were treated with a standard TEP method (group 1) and the other 17 patients were treated with the TEP-SI technique (group 2). Thiobarbituric acid reactive substances (TBARS) and total antioxidant status (TAS) as the oxidative stress markers were measured before surgery (0), 1 day (1) and 4 days (2) after surgery. Results A decrease in TAS on the first day after surgery was observed in both groups. Sustained reduction on the fourth day after surgery was observed in group 1, whereas in group 2 an increase followed. A statistically significant difference was observed in TAS (2 : 0) ratio with a meaningful decrease in group 1. TBARS concentration was elevated 1 day after surgery in both groups. It remained at an elevated level on the fourth day after surgery in group 1, while it decreased in group 2. The duration of surgery was higher in group 2 (mean: 57.5 min) than in group 1 (mean: 50.0 min) (p = 0.0286). Conclusions Oxidative stress levels are lower in patients treated operatively by TEP-SI technique than by TEP. TEP-SI may be considered as a less invasive technique associated with less tissue injury.

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“…adnexectomy, ovarian cystectomy) by SPL vs CL [ 16 – 21 ]. We performed a meta-analysis including these six studies that did not find significant differences in terms of the benefits between SPL and CL, and that hence does not allow SPL to be recommended at present for adnexal surgery [ 22 ].…”

Section: Introductionmentioning

confidence: 99%

Effect of laparoscopy by single-port endoscopic access in benign adnexal surgery: study protocol for a randomized controlled trial

Schmitt

Crochet

Baumstark

et al. 2018

Trials

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BackgroundLaparoscopic surgery has become the preferred surgical approach due to a reduction in postoperative pain, better recovery, shorter hospitalization, and improved esthetic outcomes. Laparoscopic surgery with single-port laparoscopy (SPL) is a laparoscopic surgery technique that is based on making a single parietal incision using a single trocar specifically designed to allow introduction of several instruments. The level of evidence regarding the advantages of SPL in terms of postoperative pain has remained low despite several randomized studies. Adult patients exhibiting a surgical indication for an a priori benign ovarian pathology or for prophylactic purposes that can be performed by laparoscopy will be randomized to receive conventional laparoscopy (CL) or SPL. The aim of our study is to evaluate whether SPL offers advantages over CL in benign adnexal surgery.MethodsThe patients will be evaluated preoperatively to confirm their eligibility. The perioperative data up to 24 h after the intervention, as well as the postoperative data at day 7 and at one month from the intervention will be collected. The primary outcome for the study will be the postoperative pain at 24 h ± 2 h after the intervention. The pain will be assessed by a numeric rating scale of 0–10.Other outcomes will also be assessed, such as pain at other times, the consumption of analgesics, the operative time, perioperative bleeding, the number of additional trocars in the two groups, the incidence of laparoconversion, the esthetic criteria of the scar at one month, the incidence of complications, and the quality of life at one month.DiscussionIf our hypothesis is confirmed, this study will provide evidence that the use of SPL can decrease postoperative pain in adnexal surgery. The standard surgical treatment of this condition would thus be modified.Trial registrationClinicalTrials.gov, NCT02739724. Registered on 12 April 2016.Electronic supplementary materialThe online version of this article (doi:10.1186/s13063-017-2429-y) contains supplementary material, which is available to authorized users.

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Single-Port Laparoscopy vs Conventional Laparoscopy in Benign Adnexal Diseases: A Systematic Review and Meta-Analysis

Cited by 44 publications

References 40 publications

[Retracted] Outcome of Gynecologic Laparoendoscopic Single‐Site Surgery with a Homemade Device and Conventional Laparoscopic Instruments in a Chinese Teaching Hospital

[Retracted] Outcome of Gynecologic Laparoendoscopic Single‐Site Surgery with a Homemade Device and Conventional Laparoscopic Instruments in a Chinese Teaching Hospital

A comparison of the oxidative stress response in single-incision laparoscopic versus multi-trocar laparoscopic totally extraperitoneal inguinal hernia repair.

Effect of laparoscopy by single-port endoscopic access in benign adnexal surgery: study protocol for a randomized controlled trial

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