Systematic review and meta-analysis of single-port versus conventional laparoscopic hysterectomy

Abstract

There is no significant difference in the frequency of perioperative complications between SPLH and CLH. However, the higher rate of procedure failure in SPLH should be taken into consideration.

Comparison of laparoscopy-assisted vaginal hysterectomy as endoscopic single-station surgery and conventional laparoscopic hysterectomy—surgical effects on safety and quality of life

“…In this randomized trial, we evaluated safety and effectiveness of LESS hysterectomy compared to the conventional laparoscopic hysterectomy. Our findings confirm the findings from three meta-analyses, defining LESS hysterectomy as a safe surgical procedure [6,8]. The primary aim of the trial was to evaluate the blood loss during surgery.…”

“…All participating surgeons were certified as MIC-II-III by the German Study Group for Gynaecologic Endoscopy (Arbeitsgemeinschaft Gynäkologische Endoskopie: AGE). Additionally, we demonstrated that the operative time was comparable in both groups which has been confirmed in recent trials [6,8,17,18]. Patients within the LESS group experienced significantly less pain 24 h postoperatively (p = 0.006), while pain scores were comparable at days 3, 5, 7, and 2 months postoperatively.…”

“…It was only in 1991 that Pelosi et al performed the first LESS hysterectomy, more than 20 years after the first publication on the LESS procedure in 1969 [7]. Currently, some studies have shown the feasibility of LESS surgery in many benign gynecologic procedures [8]. However, it remains debatable whether this new technology has added value over the existing conventional laparoscopic techniques and whether it should be broadly implemented for hysterectomy.…”

“…Several reports suggest the feasibility of LESS surgery in benign gynecologic surgery [8]. However, it still remains unclear whether this new technology has added value over the existing conventional laparoscopic technique and if it seems necessary to implement this new technique into hysterectomy procedures.…”

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

“…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.…”