Laparoendoscopic single site (LESS) surgery in benign gynecology: perioperative and late complications of 515 cases

Abstract Objective To present 515 LESS surgeries and report the perioperative outcomes and late complications according to the Clavien–Dindo classification. Study design We performed a prospective single-center study (Canadian Task Force classification II-2). One surgeon trained in minimally invasiv...

Full description

Saved in:
Bibliographic Details
Published in:European journal of obstetrics & gynecology and reproductive biology 2013-04, Vol.167 (2), p.215-218
Main Authors: Park, Jin-Young, Kim, Tae-Joong, Kang, Hyo-Jeong, Lee, Yoo-young, Choi, Chel Hun, Lee, Jeong-Won, Bae, Duk-Soo, Kim, Byoung-Gie
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Blood Loss, Surgical
Clavien–Dindo classification
Endoscopy - adverse effects
Female
Follow-Up Studies
Genital Diseases, Female - surgery
Gynecology
Hernia, Umbilical - epidemiology
Hernia, Umbilical - etiology
Humans
Hysterectomy - adverse effects
Laparoscopy - adverse effects
Late complications
LESS
Middle Aged
Obstetrics and Gynecology
Pelvis - surgery
Perioperative Period
Postoperative Complications - epidemiology
Postoperative Hemorrhage - epidemiology
Postoperative Period
Prospective Studies
Republic of Korea - epidemiology
Umbilicus
Young Adult
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Abstract Objective To present 515 LESS surgeries and report the perioperative outcomes and late complications according to the Clavien–Dindo classification. Study design We performed a prospective single-center study (Canadian Task Force classification II-2). One surgeon trained in minimally invasive surgery performed 515 cases of LESS surgery from May 2008 to September 2011. Results LESS gynecological surgery was performed on 515 patients (274 total hysterectomies; 26 subtotal hysterectomies; 87 adnexectomies including oophorectomy, salpingectomy, and salpingo-oophorectomy; 100 ovarian cystectomies; 17 myomectomies; 11 others). The median age and body mass index of the patients were 45 years and 22.6 kg/m2 , respectively. LESS surgery was successfully completed in 493 patients (95.7%) without the need for one or more ancillary ports or conversion to laparotomy. Twenty patients needed one or more additional ports and two cases were converted to laparotomy. One or more additional ports were required most frequently in ovarian cystectomy procedures (12/100, 12%). Thirty-six patients (7.0%) required intraoperative and/or postoperative transfusions. Each of these patients underwent hysterectomy (33/274, 12.0%) or subtotal hysterectomy (3/26, 11.5%). Perioperative complications (
ISSN:0301-2115
1872-7654
DOI:10.1016/j.ejogrb.2012.11.027