scholarly journals Laparoendoscopic Single-Site Surgery (LESS) for a Large Ovarian Tumour: First Clinical Case Report

2011 ◽  
Vol 2011 ◽  
pp. 1-5 ◽  
Author(s):  
Yao Dong Chua ◽  
Ying Woo Ng ◽  
Yoke Fai Fong
Keyword(s):  
Case Report ◽  
Operative Time ◽  
Ovarian Tumour ◽  
Single Site ◽  
Laparoscopic Technique ◽  
Technical Adequacy ◽  
Laparoendoscopic Single Site ◽  
Laparoscopic Instruments ◽  
Estimated Blood Loss ◽  
Laparoendoscopic Single Site Surgery

Objective. To report the feasibility of removing a 10 cm ovarian fibroma via a laparoendoscopic single-site trocar through trans-umbilical access.Design. Case report.Setting. Teaching and research hospital.Patient. A 64-year-old patient affected by a large 10 cm ovarian tumour.Intervention(s). Bilateral salpingo-oophorectomy a large 10 cm ovarian tumour, using a laparoendoscopic single-site approach with a Covidien SILS multitrocar access device and standard laparoscopic instruments.Main Outcome Measure(s). Conversion to standard laparoscopic technique or laparotomy, estimated blood loss, operative time , extent of scarring, occurrence of intra- and perioperative surgical complications, technical adequacy, and clinical outcome.Result(s). No conversion to standard laparoscopic technique or laparotomy, and no intraoperative or postoperative complications were observed. Total operative time was 99 minutes. The patient was discharged home on postoperative day one.Conclusion(s). Laparoendoscopic single-site bilateral salpingo-oophorectomy of a large ovarian tumour is feasible with standard laparoscopic instruments. It is safe and effective, with good results in terms of excellent cosmesis and minimal postoperative pain.

scholarly journals Patient-reported satisfaction and cosmesis outcomes following laparoscopic adrenalectomy: laparoendoscopic single-site adrenalectomy vs. conventional laparoscopic adrenalectomy

2014 ◽  
Vol 8 (1-2) ◽  
pp. 20 ◽  
Author(s):  
Shogo Inoue ◽  
Kenichiro Ikeda ◽  
Kanao Kobayashi ◽  
Mitsuru Kajiwara ◽  
Jun Teishima ◽  
...  
Keyword(s):  
Laparoscopic Adrenalectomy ◽  
Operative Time ◽  
Young Patients ◽  
Satisfaction Score ◽  
Single Site ◽  
Female Patients ◽  
Conventional Laparoscopic ◽  
Laparoendoscopic Single Site ◽  
Estimated Blood Loss ◽  
Patient Reported

Introduction: We evaluate patient-reported satisfaction and cosmesis of laparoendoscopic single-site adrenalectomy (LESS-A) in comparison with that of conventional laparoscopic adrenalectomy (CLA).Methods: A total of 19 and 104 patients who respectively underwent LESS-A and CLA between May 1996 and June 2011 were included in the study. Questionnaires inquiring about scar pain (0: not painful, 10: very painful), satisfaction (0: not satisfied, 10:very satisfied) and cosmesis (0: very unsightly, 10: very beautiful) on the basis of a visual analogue scale were sent to patients postoperatively.Results: The respondents consisted of 11 and 54 patients who underwent LESS-A and CLA, respectively. There was no significant inter-group difference in age, sex, affected side or body mass index. No significant differences were observed in operative time or estimated blood loss. There were also no significant differences in pain (0.67 vs. 0.57, p = 0.393), satisfaction (8.92 vs. 8.46, p = 0.453), or cosmesis score (8.58 vs. 8.00, p = 0.487) between the LESS-A and CLA groups overall. In female patients, the satisfaction score was significantly higher in the LESS-A group than in the CLA group (10.0 vs. 8.72, p = 0.049). In young patients (<50 years old), the satisfaction score was also significantly higher in the LESS-A group than in the CLA group (9.17 vs. 6.38, p = 0.036).Conclusions: Young patients and female patients who had received LESS-A adrenal surgery were more satisfied with the scar outcomes than were the young patients and female patients who had received CLA. We suggest that this patient subset most values the cosmetic benefits of LESS-A.

Ergonomic and geometric tricks of laparoendoscopic single-site surgery (LESS) by using conventional laparoscopic instruments

2012 ◽  
Vol 26 (9) ◽  
pp. 2671-2677 ◽  
Author(s):  
Yao-Chou Tsai ◽  
Victor Chia-Hsiang Lin ◽  
Shiu-Dong Chung ◽  
Chen-Hsun Ho ◽  
Fu-Shan Jaw ◽  
...  
Keyword(s):  
Single Site ◽  
Conventional Laparoscopic ◽  
Laparoendoscopic Single Site ◽  
Laparoscopic Instruments ◽  
Laparoendoscopic Single Site Surgery ◽  
Single Site Surgery

scholarly journals Multicenter Experience with Nonischemic Multiport Laparoscopic and Laparoendoscopic Single-Site Partial Nephrectomy Utilizing Bipolar Radiofrequency Ablation Coagulator

2011 ◽  
Vol 2011 ◽  
pp. 1-8 ◽  
Author(s):  
Wassim M. Bazzi ◽  
Mohamad E. Allaf ◽  
Jared Berkowitz ◽  
Hany N. Atalah ◽  
Sijo Parekattil ◽  
...  
Keyword(s):  
Partial Nephrectomy ◽  
Tumor Size ◽  
Operative Time ◽  
Single Site ◽  
Laparoendoscopic Single Site ◽  
Bipolar Radiofrequency ◽  
Estimated Blood Loss ◽  
Multicenter Retrospective Review ◽  
Term Data

Objective. To investigate feasibility of multiport and laparoendoscopic single-site (LESS) nonischemic laparoscopic partial nephrectomy (NI-LPN) utilizing bipolar radiofrequency coagulator. Methods. Multicenter retrospective review of 60 patients (46 multiport/14 LESS) undergoing NI-LPN between 4/2006 and 9/2009. Multiport and LESS NI-LPN utilized Habib 4X bipolar radiofrequency coagulator to form a hemostatic zone followed by nonischemic tumor excision and renorrhaphy. Demographics, tumor/perioperative characteristics, and outcomes were analyzed. Results. 59/60 (98.3%) successfully underwent NI-LPN. Mean tumor size was 2.35 cm. Mean operative time was 160.0 minutes. Mean estimated blood loss was 131.4 mL. Preoperative/postoperative creatinine (mg/dL) was 1.02/1.07 (). All had negative margins. 12 (20%) patients developed complications. 3 (5%) developed urine leaks. No differences between multiport and LESS-PN were noted as regards demographics, tumor size, outcomes, and complications. Conclusion. Initial experience demonstrates that nonischemic multiport and LESS-PN is safe and efficacious, with excellent short-term preservation of renal function. Long-term data are needed to confirm oncological efficacy.

scholarly journals Outcome of Gynecologic Laparoendoscopic Single-Site Surgery with a Homemade Device and Conventional Laparoscopic Instruments in a Chinese Teaching Hospital

2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
Xianghui Su ◽  
Xiaolong Jin ◽  
Canliang Wen ◽  
Qiong Xu ◽  
Chunfang Cai ◽  
...  
Keyword(s):  
Fallopian Tube ◽  
Single Site ◽  
Perioperative Outcomes ◽  
Control Group ◽  
Laparoscopy Group ◽  
Conventional Laparoscopic ◽  
Laparoendoscopic Single Site ◽  
Laparoscopic Instruments ◽  
Laparoendoscopic Single Site Surgery ◽  
Single Site Surgery

Objective. To demonstrate various benign gynecologic diseases that can be performed by laparoendoscopic single-site surgery (LESS) with conventional laparoscopic instruments. Method. Patients with benign gynecologic diseases that need ovarian cystectomy, fallopian tube resection, or myomectomy were divided into experimental group and control group, and perioperative outcomes of these patients were analyzed. Results. From November 2017 to May 2018, 65 LESS gynecological surgeries were performed, among which there were 25 ovarian cystectomies, 28 unilateral fallopian tube resections, and 12 myomectomies. All the surgeries were completed smoothly, and only one surgery needed one more additional port. No patients have severe complications. Operative time, intraoperative blood loss, and perioperative complications have no difference between the two groups. The LESS laparoscopy group had less postoperative pain scores and longer bowel recovering time, compared with the conventional laparoscopy group (<0.05). Conclusion. Compared with traditional laparoscopy, LESS surgery with conventional laparoscopic instruments is feasible and safe, but postoperative exhaust time is longer than the control group.

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