Laparoendoscopic Single-Site Surgery for the Treatment of Benign Adnexal Disease : A Prospective Trial

Abstract EN

Background.

To validate feasibility, efficacy, and safeness of laparoscopic treatment of benign adnexal diseases through a single transumbilical access (LESS) in a prospective series of patients.

Methods.

A prospective clinical trial including 30 women has been conducted at the Division of Gynecology of Catholic University of Sacred Hearth of Rome.

Patients underwent different laparoscopic procedures by LESS utilizing a multiport trocar and conventional straight laparoscopic instrumentation.

Intra and perioperative outcome has been reported.

Results.

Ten mono/bilateral adnexectomies and 20 cystectomies have been performed by LESS approach.

Laparoscopic procedures were completed through a single access in 28 cases (93.4%).

No major intra- or postoperative complications were observed.

Mean hospital stay was 1.3 days.

Conclusions.

LESS approach is feasible to treat benign adnexal disease with a very low conversion rate and no early or late complications.

More clinical data are needed to confirm these advantages compared to standard laparoscopic technique.