Open AccessLaparoendoscopic single‐site surgery (LESS) – is it feasible in gynecological surgery?
Author(s) -
KAVALLARIS ANDREAS,
CHALVATZAS NEKTARIOS,
HORNEMANN AMADEUS,
LUEDDERS DOERTE,
DIEDRICH KLAUS,
BOHLMANN MICHAEL KLAUS
Publication year - 2011
Publication title -
acta obstetricia et gynecologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.401
H-Index - 102
eISSN - 1600-0412
pISSN - 0001-6349
DOI - 10.1111/j.1600-0412.2010.01028.x
Subject(s) - medicine , laparoscopy , surgery , laparoscopic surgery , gynecological surgery , general surgery
Increases in technical expertise in gynecological surgery and advances in surgical instrumentation have led to the development of laparoendoscopic single‐site surgery (LESS). Between March and September 2009, 24 patients underwent adnexal surgery at our institution with laparoendoscopic single‐site surgery. The LESS technique was performed using the TriPort™ through an umbilical incision of 10 mm and bent laparoscopic instruments. We furthermore compared the LESS technique with a control group of 24 patients operated consecutively in the same period and for the same procedures with conventional multiport laparoscopy. Comparing the two techniques we found differences between the operation time and mean hospital stay. The surgeon must master the use of novel bent instruments in close proximity to each another. The LESS technique for benign adnexal surgery is technically feasible and safe, representing a reproducible alternative to conventional multiport laparoscopy.