[Single laparoscopic access: initial experience]

Area of Science:

• Minimally Invasive Gynecologic Surgery
• Laparoscopic Surgery Techniques
• Single Port Surgery

Context:

• The study evaluated the feasibility of the Laparo-Endoscopic Single-Site (LESS®) system in a gynecologic department.
• Procedures included total hysterectomy, adnexectomy, and ovarian cystectomy performed by four surgeons.
• Data collected focused on feasibility and perioperative outcomes.

Purpose:

• To assess the feasibility of performing gynecologic procedures using a single laparoscopic access point with the LESS® system.
• To report on the success rates and complications associated with single-port laparoscopic gynecologic surgery.
• To determine the potential of LESS® for routine gynecologic surgical practice.

Summary:

• A total of 24 out of 25 (96%) total hysterectomies were successfully completed via single laparoscopic access.
• All adnexectomies and ovarian cystectomies were performed successfully using the single laparoscopic access approach.
• One patient required conversion to traditional laparoscopy and laparotomy; one experienced a bladder injury repaired vaginally. Two cases of parietal hematoma were reported.

Impact:

• Single laparoscopic access surgery with the LESS® system appears feasible for specific gynecologic procedures.
• Further research with larger patient cohorts and more surgeons is needed to fully establish the risks and benefits.
• This technique may offer a less invasive approach to gynecologic surgery, potentially improving patient recovery.