BACKGROUND: In the last few years, technical advances have produced a dramatic shift from traditional open surgery toward a minimally invasive approach, even in oncological procedures. We present our initial experience with laparoendoscopic single-site surgery (LESS) in the surgical treatment of early-stage endometrial cancer patients. METHODS: Between July 2009 and May 2010, 20 consecutive low-risk early endometrial cancer patients were enrolled in this single institution prospective cohort trial. RESULTS: The median age of the patients was 57 years (range = 42-68) and median body mass index was 24 kg/m(2) (range = 21-30). Median operative time was 105 min (range = 85-155) and median estimated blood loss was 20 ml (range = 10-180). The larger skin and fascial incision required for the single-port approach was 2.5 cm (median = 2.2 cm; range = 2.0-2.5). No laparoscopic/laparotomic conversion was registered, and no insertion of additional ports was necessary. Median ileus was 16 h (range = 12-20) and median time to discharge was 1 day (range = 1-2). All patients were completely satisfied with the cosmetic results and postoperative pain control. CONCLUSIONS: Laparoendoscopic single-site surgery could represent a surgical option for extra-fascial hysterectomy in early-stage endometrial cancer patients, with the potential to further decrease invasiveness of the conventional laparoscopic approach.
BACKGROUND: In the last few years, technical advances have produced a dramatic shift from traditional open surgery toward a minimally invasive approach, even in oncological procedures. We present our initial experience with laparoendoscopic single-site surgery (LESS) in the surgical treatment of early-stage endometrial cancerpatients. METHODS: Between July 2009 and May 2010, 20 consecutive low-risk early endometrial cancerpatients were enrolled in this single institution prospective cohort trial. RESULTS: The median age of the patients was 57 years (range = 42-68) and median body mass index was 24 kg/m(2) (range = 21-30). Median operative time was 105 min (range = 85-155) and median estimated blood loss was 20 ml (range = 10-180). The larger skin and fascial incision required for the single-port approach was 2.5 cm (median = 2.2 cm; range = 2.0-2.5). No laparoscopic/laparotomic conversion was registered, and no insertion of additional ports was necessary. Median ileus was 16 h (range = 12-20) and median time to discharge was 1 day (range = 1-2). All patients were completely satisfied with the cosmetic results and postoperative pain control. CONCLUSIONS: Laparoendoscopic single-site surgery could represent a surgical option for extra-fascial hysterectomy in early-stage endometrial cancerpatients, with the potential to further decrease invasiveness of the conventional laparoscopic approach.
Authors: Pedro F Escobar; David C Starks; Amanda Nickles Fader; Matthew Barber; Luis Rojas-Espalliat Journal: Gynecol Oncol Date: 2010-06-25 Impact factor: 5.482
Authors: Anton Langebrekke; Olav Istre; Anne Cecilie Hallqvist; Tom William Hartgill; Mathias Onsrud Journal: J Am Assoc Gynecol Laparosc Date: 2002-05
Authors: Su Mi Kim; Man Ho Ha; Jeong Eun Seo; Ji Eun Kim; Min Gew Choi; Tae Sung Sohn; Jae Moon Bae; Sung Kim; Jun Ho Lee Journal: Surg Endosc Date: 2015-12-22 Impact factor: 4.584
Authors: Francesco Fanfani; Maria Lucia Gagliardi; Anna Fagotti; Luigi Carlo Turco; Giovanni Scambia Journal: JSLS Date: 2013 Apr-Jun Impact factor: 2.172