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. 2021 May 12;10(10):2073.
doi: 10.3390/jcm10102073.

Laparoendoscopic Single Site Hysterectomy: Literature Review and Procedure Description

Liliana Mereu  1 , Francesca Dalprà  1 , Saverio Tateo  1
Affiliations

Laparoendoscopic Single Site Hysterectomy: Literature Review and Procedure Description

Liliana Mereu et al. J Clin Med. .

Abstract

Laparoendoscopic single site surgery (LESS) refers to a spectrum of surgical techniques that allow the performance of laparoscopic surgery through consolidation of all ports into one surgical incision. LESS has emerged as a potentially less invasive alternative to multiport laparoscopy and in the last year in gynecology; hence, this approach has been largely applied for selective indications to perform total hysterectomy. We performed a literature review on single site hysterectomy and described indications and technique, highlighting practical problems, pointers, limitations and recent technical development as robotic assistance.

Keywords: LESS hysterectomy; review; robotic-LESS; single site laparoscopic hysterectomy.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
(A) Operative room ergonomy. (B) First surgeon ergonomy.
Figure 2
Figure 2
R-LESS set up.
See this image and copyright information in PMC

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References

    1. Working Group of ESGE Surgical steps of total laparoscopic hysterectomy: Part 1, Benign disease by the European Society for Gynaecological Endoscopy (ESGE) Facts Views Vis. Obgyn. 2019;11:103–110. - PMC - PubMed
    1. Cela V., Freschi L., Simi G., Ruggiero M., Tana R., Pluchino N. Robotic single-site hysterectomy: Feasibility, learning curve and surgical outcome. Surg. Endosc. 2013;27:2638–2643. doi: 10.1007/s00464-012-2780-8. - DOI - PubMed
    1. Pelosi M.A. Laparoscopic hysterectomy with bilateral salpingo-oophorectomy using single umbilical puncture. N. J. Med. 1991;88:721–726. - PubMed
    1. Sandberg E.M., la Chapelle C.F., van den Tweel M.M., Schoones J.W., Jansen F.W. Laparoscopic single-site surgery versus conventional laparoscopy for hysterectomy: A systematic review and metanalysis. Arch. Gynecol. Obstet. 2017;295:1089–1103. doi: 10.1007/s00404-017-4323-y. - DOI - PMC - PubMed
    1. Mereu L., Pontis A., Carri G., Mencaglia L. Single-port access laparoscopic hysterectomy: A new dimension of minimally invasive surgery. J. Gynecol. Endosc. Surg. 2011;2:11–17. - PMC - PubMed

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