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Single-Site Endoscopic Surgery for Soft Tissue Lesions: An Innovative Technique
Chong Xie1, Zhengtuan Guo1, Weilong Lin1
1Department of Pediatric Surgery and Vascular Anomalies, Xi'an International Medical Center Hospital, Xi'an, CHN.
Cureus
|January 27, 2025
Summary
This study shows single-site endoscopic surgery is a feasible approach for soft tissue lesions, including tumors and vascular anomalies. This innovative technique offers a minimally invasive option for various musculoskeletal conditions.
Area of Science:
- Surgical Innovation
- Minimally Invasive Surgery
- Soft Tissue Lesions
Background:
- Soft tissue lesions present diverse surgical challenges.
- Traditional open surgeries can lead to significant morbidity.
- Minimally invasive techniques are increasingly sought for improved patient outcomes.
Purpose of the Study:
- To report on an innovative single-site endoscopic surgery for soft tissue lesions.
- To evaluate the feasibility and outcomes of this approach.
- To establish proof of principle for future applications in soft tissue surgery.
Main Methods:
- Retrospective review of patients undergoing single-site endoscopic surgery for soft tissue lesions (September 2019 - March 2024).
- Data collected included patient demographics, diagnoses, surgical sites, operative details, and follow-up.
- Surgical procedures encompassed resection, debulking, and reconstruction for various soft tissue conditions.
Main Results:
- Fifteen patients (10 female, 5 male; age 1-26 years) were included.
- Common diagnoses included leg enlargement, fibro-adipose vascular anomaly, and lymphatic malformations.
- Technical success was achieved in all cases, with operative times ranging from 66-455 minutes and minimal blood loss (median 50 mL).
Conclusions:
- Single-site endoscopic surgery is a feasible and effective approach for resecting subcutaneous, muscular, and tendinous soft tissue lesions.
- This technique demonstrates potential for broader application in soft tissue surgery.
- Further research can explore expanded indications and long-term outcomes.
