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. 2010:2010:108258.
doi: 10.1155/2010/108258. Epub 2010 Feb 8.

Laparoendoscopic single-site surgery for the treatment of benign adnexal disease: a prospective trial

Anna Fagotti  1 , Francesco Fanfani, Cristiano Rossitto, Francesco Marocco, Valerio Gallotta, Federico Romano, Giovanni Scambia
Affiliations

Laparoendoscopic single-site surgery for the treatment of benign adnexal disease: a prospective trial

Anna Fagotti et al. Diagn Ther Endosc. 2010.

Abstract

Background. To validate feasibility, efficacy, and safeness of laparoscopic treatment of benign adnexal diseases through a single transumbilical access (LESS) in a prospective series of patients. Methods. A prospective clinical trial including 30 women has been conducted at the Division of Gynecology of Catholic University of Sacred Hearth of Rome. Patients underwent different laparoscopic procedures by LESS utilizing a multiport trocar and conventional straight laparoscopic instrumentation. Intra and perioperative outcome has been reported. Results. Ten mono/bilateral adnexectomies and 20 cystectomies have been performed by LESS approach. Laparoscopic procedures were completed through a single access in 28 cases (93.4%). No major intra- or postoperative complications were observed. Mean hospital stay was 1.3 days. Conclusions. LESS approach is feasible to treat benign adnexal disease with a very low conversion rate and no early or late complications. More clinical data are needed to confirm these advantages compared to standard laparoscopic technique.

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Figures

Figure 1
Figure 1
(a) Positioning of the trocar at the beginning of the procedure. (b) Postoperative umbilical scar's outcome.
Figure 2
Figure 2
LESS operative technique: (a) internal vision, (b) external vision.
See this image and copyright information in PMC

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