Laparoendoscopic Single Site Hysterectomy: Literature Review and Procedure Description

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.

Figure 1

(A) Operative room ergonomy. (B) First surgeon ergonomy.

Figure 2

R-LESS set up.