Related Experiment Video
Updated: May 23, 2026
08:26
Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction
Published on: March 24, 2023
Laparoendoscopic single-site surgery (LESS) versus conventional laparoscopic surgery for adnexal preservation: a
Yeon Jean Cho1, Mi-La Kim, Soo Yoon Lee
1Department of Obstetrics and Gynecology, Cheil General Hospital and Women's Healthcare Center, Kwandong University College of Medicine, Seoul, Republic of Korea.
International Journal of Women'S Health
|March 27, 2012
Summary
Laparoendoscopic single-site surgery (LESS) and conventional laparoscopy offer comparable outcomes for adnexal preservation in reproductive-age women. Both methods provide similar postoperative pain and recovery times, making LESS a viable option for scarless surgery.
Area of Science:
- Minimally Invasive Gynecologic Surgery
- Surgical Oncology
- Reproductive Medicine
Background:
- Adnexal preservation is crucial in reproductive-age women undergoing surgery for ovarian cysts.
- Conventional laparoscopy and newer techniques like laparoendoscopic single-site surgery (LESS) are used for these procedures.
- Comparing the outcomes of these surgical approaches is essential for patient care.
Purpose of the Study:
- To compare operative outcomes, postoperative pain, and convalescence between LESS and conventional laparoscopic surgery for adnexal preservation.
- To evaluate the feasibility of LESS as an alternative for scarless abdominal surgery in young women.
Main Methods:
- A comparative study involving 63 patients undergoing cyst enucleation between December 2009 and September 2010.
- Patients were divided into two groups: LESS (n=33) and conventional laparoscopic surgery (n=30).
- Outcomes assessed included operative results, postoperative pain (Visual Analog Scale), analgesic requirements, and time to recovery.
Main Results:
- No significant differences in preoperative characteristics between the groups.
- A higher postoperative hemoglobin drop was observed in the LESS group (P=0.048).
- Postoperative pain, analgesic use, and time to return to work were similar for both LESS and conventional laparoscopy.
Conclusions:
- LESS and conventional laparoscopy demonstrate comparable operative outcomes, patient satisfaction, and convalescence in adnexal-preserving surgery.
- LESS is a feasible and promising alternative for scarless abdominal surgery in young women with adnexal cysts.
