Laparoendoscopic single-site surgery (LESS) in gynecology: A multi-institutional evaluation

Amanda Nickles Fader, Luis Rojas-Espaillat, Okechukwu Ibeanu, Francis C. Grumbine, Pedro F. Escobar

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: The study objectives were to determine the surgical outcomes of a large series of gynecology patients treated with laparoendoscopic single-site surgery (LESS). Study Design: This was a retrospective, multi-institutional analysis of gynecology patients treated with LESS in 2009. Patients underwent surgery via a single 1.5- to 2.5-cm umbilical incision with a multichannel single port. Results: A total of 74 women underwent LESS. Procedures were performed for benign pelvic masses (n = 39), endometrial hyperplasia (n = 9), endometrial (n = 15) and ovarian (n = 6) cancers, and nongynecologic malignancies (n = 5). Median patient age and body mass index were 47 years and 28, respectively. A Pearson product-moment correlation coefficient was computed and demonstrated a significant linear relationship between the operating time and number of cases for cancer staging (r = 0.71; n = 26; P < .001) and nonstaging (r = 0.78; n = 48; P < .002) procedures. Perioperative complications were low (3%). Conclusion: LESS is feasible, safe, and reproducible in gynecology patients with benign and cancerous conditions. Operative times are reasonable and can be decreased with experience.

Original languageEnglish (US)
Pages (from-to)501.e1-501.e6
JournalAmerican journal of obstetrics and gynecology
Volume203
Issue number5
DOIs
StatePublished - Nov 2010

Keywords

  • laparoendoscopic single-site surgery (LESS)
  • single-port laparoscopy
  • single-port surgery

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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