Single laparoscopic access: initial experience

To evaluate feasibility of single laparoscopic access with LESS(®) system. We conducted an open study from 1/7/2009 to 1/10/2010 in a single gynaecologic department. All procedures were performed by four operators. Procedures evaluated were total hysterectomy, adnexectomy and ovarian cystectomy. Fea...

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Bibliographic Details
Published in:Gynécologie, obstétrique & fertilité obstétrique & fertilité, 2011-10, Vol.39 (10), p.541-544
Main Authors: Poizac, S, Estrade, J-P, Marcelli, M, Lazard, A, Cravello, L, Blanc, B, Gamerre, M, Agostini, A
Format: Article
Language:fre
Subjects:
Adnexal Diseases - surgery
Adult
Female
Gynecologic Surgical Procedures
Humans
Hysterectomy - instrumentation
Hysterectomy - methods
Laparoscopy - instrumentation
Laparoscopy - methods
Middle Aged
Ovarian Cysts - surgery
Urinary Bladder - injuries
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Summary:To evaluate feasibility of single laparoscopic access with LESS(®) system. We conducted an open study from 1/7/2009 to 1/10/2010 in a single gynaecologic department. All procedures were performed by four operators. Procedures evaluated were total hysterectomy, adnexectomy and ovarian cystectomy. Feasibility, per- and postoperative data were reported. We performed completely 24/25 (96 %) total hysterectomies by single laparoscopic access. Traditional laparoscopy and finally laparotomy was necessary for one patient. Bladder injury repaired by vaginal approach was reported in one patient. We performed 29 adnexectomies in 19 patients (nine unilaterals et 10 bilaterals) and six ovarian cystectomies in four patients (four unilaterals et two bilaterals). All procedures were performed successfully by single laparoscopic access. Parietal haematoma were reported in two patients. Laparoscopic gynaecologic surgery by single access seems feasible with LESS(®) system for these procedures. Further study including larger number of patients and operators were necessary to confirm risks and advantages of this technique.
ISSN:1769-6682
DOI:10.1016/j.gyobfe.2011.08.027