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

Abstract:

OBJECTIVE:To report the feasibility of ovarian cyst enucleation by using a laparoendoscopic single-site trocar through a transumbilical access. DESIGN:Case reports. SETTING:Teaching and research hospital. PATIENT(S):Three patients affected by large ovarian cysts. INTERVENTION(S):Enucleation of three large ovarian cysts by using a laparoendoscopic single-site approach with a new multiport trocar and standard laparoscopic instruments. MAIN OUTCOME MEASURE(S):Conversion to a multiaccess standard laparoscopic technique. RESULT(S):No conversion to multiaccess standard laparoscopic technique and no intraoperative or postoperative complications were observed. Mean operative time was 79.6 minutes. All patients were discharged home on day 1. CONCLUSION(S):Laparoendoscopic single-site enucleation of large ovarian cysts with ovary sparing is feasible with standard laparoscopic instruments, safe and effective, with good results in terms of cosmesis and postoperative pain. More clinical data are needed to confirm these advantages compared with standard laparoscopic technique.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Fagotti A,Fanfani F,Marocco F,Rossitto C,Gallotta V,Scambia G

doi

10.1016/j.fertnstert.2009.05.060

subject

Has Abstract

pub_date

2009-09-01 00:00:00

pages

1168.e13-1168.e16

issue

3

eissn

0015-0282

issn

1556-5653

pii

S0015-0282(09)01208-4

journal_volume

92

pub_type

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