Laparoendoscopic single-site hysterectomy: Is it safe and feasible?

Current Opinion in Obstetrics and Gynecology

Volumn 26, Issue 4, 2014, Pages 275-280

  Fanfani, Francesco ^a   Monterossi, Giorgia ^b   Fagotti, Anna ^c   Scambia, Giovanni ^b  

^a INSTITUTE FOR MATERNAL AND CHILD HEALTH IRCCS BURLO GAROFOLO   (Italy)

^b CATHOLIC UNIVERSITY   (Italy)

^c UNIVERSITY OF PERUGIA   (Italy)

Author keywords

Laparoendoscopic single site surgery; Single port; Single site hysterectomy

Indexed keywords

ADENOMYOSIS; BODY IMAGE; ENDOMETRIUM CANCER; FEASIBILITY STUDY; GOLD STANDARD; GRASPING FORCEPS; GYNECOLOGIC DISEASE; HUMAN; LAPAROENDOSCOPIC SINGLE SITE HYSTERECTOMY; LAPAROENDOSCOPIC SINGLE SITE SURGERY; LAPAROSCOPIC SCISSORS; LAPAROSCOPIC SURGICAL INSTRUMENT; MINIMALLY INVASIVE SURGERY; PATIENT SAFETY; PRIORITY JOURNAL; RADICAL HYSTERECTOMY; REPRODUCIBILITY; REVIEW; ROBOTIC ASSISTED SINGLE PORT HYSTERECTOMY; SURGICAL TECHNIQUE; TREATMENT INDICATION; TROCAR; UTERINE CERVIX CANCER; UTERINE MANIPULATOR; UTERUS BLEEDING; UTERUS PROLAPSE; ADVERSE EFFECTS; DEVICES; EVALUATION STUDY; FEMALE; GENITAL DISEASES, FEMALE; HYSTERECTOMY; HYSTEROSCOPY; LAPAROSCOPY; PROCEDURES; ROBOTICS; TREATMENT OUTCOME;

FEASIBILITY STUDIES; FEMALE; GENITAL DISEASES, FEMALE; HUMANS; HYSTERECTOMY; HYSTEROSCOPY; LAPAROSCOPY; REPRODUCIBILITY OF RESULTS; ROBOTICS; TREATMENT OUTCOME;

EID: 84904043017     PISSN: 1040872X     EISSN: 1473656X     Source Type: Journal    
DOI: 10.1097/GCO.0000000000000090     Document Type: Review

References (39)

1. Fagotti A, Boruta DM 2nd, Scambia G, et al. First 100 early endometrial cancer cases treated with laparoendoscopic single-site surgery: a multicentric retrospective study. Am J Obstet Gynecol 2012; 206:353.e1-353.e6.
2. Fanfani F, Fagotti A, Gagliardi ML, et al. Minilaparoscopic versus single-port total hysterectomy: a randomized trial. J Minim Invasive Gynecol 2013; 20:192-197.
3. Fader AN, Escobar PF. Laparoendoscopic single-site surgery (LESS) in gynecologic oncology: technique and initial report. Gynecol Oncol 2009; 114:157-161.
4. Yim GW, Jung YW, Paek J, et al. Transumbilical single-port access versus conventional total laparoscopic hysterectomy: surgical outcomes. Am J Obstet Gynecol 2010; 203:26.e1-26.e6; e1- 6.
5. Fanfani F, Fagotti A, Scambia G. Laparoendoscopic single-site surgery for total hysterectomy. Int J Gynaecol Obstet 2010; 109:76-77.
6. Sodergren MH, Aslanyan A, McGregor CG, et al. Pain, well being, body image and cosmesis: a comparison of single-port and four-port laparoscopic cholecystectomy. Minim Invasive Ther Allied Technol 2014 (in press).
7. Pini G, Veneziano D, Altieri V, et al. Laparoendoscopic single-site radical nephrectomy for kidney tumor. Surgical technique, cosmetic and postoperative pain control outcomes. Urologia 2013; 80 (Suppl 22):16-23.
8. Qiu J, Yuan H, Chen S, et al. Single-port laparoscopic appendectomy versus conventional laparoscopic appendectomy: evidence from randomized controlled trials and non randomized comparative studies. Surg Laparosc Endosc Percutan Tech 2014; 24:12-21.
9. Yoon BS, Park H, Seong SJ, et al. Single-port laparoscopic salpingectomy for the surgical treatment of ectopic pregnancy. J Minim Invasive Gynecol 2010; 17:26-29.
10. Fanfani F, Rossitto C, Gagliardi ML, et al. Total laparoendoscopic single-site surgery (LESS) hysterectomy in low-risk early endometrial cancer: a pilot study. Surg Endosc 2012; 26:41-46.
11. Fanfani F, Fagotti A, Rossitto C, et al. Laparoscopic, minilaparoscopic and single-port hysterectomy: perioperative outcomes. Surg Endosc 2012; 26: 3592-3596.
12. Fanfani F, Gagliardi ML, Zannoni GF, et al. Total laparoscopic hysterectomy in early-stage endometrial cancer using an intrauterine manipulator: is it a bias for frozen section analysis? Case-control study. J Minim Invasive Gynecol 2011; 18:184-188.
13. Fagotti A, Bottoni C, Vizzielli G, et al. Postoperative pain after conventional laparoscopy and laparoendoscopic single site surgery (LESS) for benign adnexal disease: a randomized trial. Fertil Steril 2011; 96:255- 259; e2.
14. Jung YW, Lee M, Yim GW, et al. A randomized prospective study of singleport and four-port approaches for hysterectomy in terms of postoperative pain. Surg Endosc 2011; 25:2462-2469.
15. Li M, Han Y, Feng YC. Single-port laparoscopic hysterectomy versus conventional laparoscopic hysterectomy: a prospective randomized trial. J Int Med Res 2012; 40:701-708.
16. Koyanagi T, Motomura S. Single-incision laparoscopically assisted vaginal hysterectomy: operative outcomes and its learning curve. Exp Ther Med 2011; 2:867-871.
17. Choi YS, Park JN, Oh YS, et al. Single-port vs. conventionalmultiport access laparoscopy-assisted vaginal hysterectomy: comparison of surgical outcomes and complications. Eur J Obstet Gynecol Reprod Biol 2013; 169: 366-369.
18. Song T, Cho J, Kim TJ, et al. Cosmetic outcomes of laparoendoscopic singlesite hysterectomy compared with multiport surgery: randomized controlled trial. J Minim Invasive Gynecol 2013; 20:460-467.
19. Song T, Kim MK, Kim ML, et al. Would fewer port numbers in laparoscopy produce better cosmesis? Prospective study. J Minim Invasive Gynecol 2014; 21:68-73.
20. Song T, Kim ML, Jung YW, et al. Laparoendoscopic single-site versus conventional laparoscopic gynecologic surgery: a meta-analysis of randomized controlled trials. Am J Obstet Gynecol 2013; 209:317.e1-317.e9.
21. Song T, Lee Y, Kim ML, et al. Single-port access total laparoscopic hysterectomy for large uterus. Gynecol Obstet Invest 2013; 75:16-20.
22. Yoon G, Kim TJ, Lee YY, et al. Single-port access subtotal hysterectomy with transcervical morcellation: a pilot study. J Minim Invasive Gynecol 2010; 17:78-81.
23. Wenger JM, Dubuisson JB, Dällenbach P. Laparoendoscopic single-site supracervical hysterectomy with endocervical resection. J Minim Invasive Gynecol 2012; 19:217-219.
24. Benedetti Panici P, Basile S, Maneschi F, et al. Systematic pelvic lymphadenectomy vs. no lymphadenectomy in early-stage endometrial carcinoma: randomized clinical trial. J Natl Cancer Inst 2008; 100:1707-1716.
25. ASTEC study group. Kitchener H, Swart AM, Qian Q, et al. Efficacy of systematic pelvic lymphadenectomy in endometrial cancer (MRC ASTEC trial): a randomised study. Lancet 2009; 373:125-136.
26. Zivanovic O, Sonoda Y, Diaz JP, et al. The rate of port-site metastases after 2251 laparoscopic procedures in women with underlying malignant disease. Gynecol Oncol, 2008, 111, 431-437.
27. Boruta DM 2nd, Growdon WB, Schorge JO. Single-incision laparoscopic staging for endometrial cancer. J Am Coll Surg 2011; 212:e1-5.
28. Escobar PF, Frumovitz M, Soliman PT, et al. Comparison of single-port laparoscopy, standard laparoscopy, and robotic surgery in patients with endometrial cancer. Ann Surg Oncol 2012; 19:1583-1588.
29. Park JY, Kim DY, Suh DS, et al. Laparoendoscopic single-site versus conventional laparoscopic surgical staging for early-stage endometrial cancer. Int J Gynecol Cancer 2014; 24:358-363.
30. Koehler C, Gottschalk E, Chiantera V, et al. From laparoscopic assisted radical vaginal hysterectomy to vaginal assisted laparoscopic radical hysterectomy. BJOG 2012; 119:254-262.
31. Boggess JF, Gehrig PA, Cantrell L, et al. A case-control study of robotassisted type III radical hysterectomy with pelvic lymph node dissection compared with open radical hysterectomy. Am J Obstet Gynecol 2008; 199:357.e1-357.e7.
32. Garrett LA, Boruta DM 2nd, Laparoendoscopic single-site radical hysterectomy: The first report of LESS type III hysterectomy involves a woman with cervical cancer. Am J Obstet Gynecol. 2012, 207, 518.e1-518.e2.
33. Boruta DM, Fagotti A, Bradford LS, et al. Laparoendoscopic single-site radical hysterectomy with pelvic lymphadenectomy: initial multi-institutional experience for treatment of invasive cervical cancer. J Minim Invasive Gynecol 2014; 21:394-398.
34. Vizza E, Corrado G, Mancini E, et al. Robotic single-site hysterectomy in lowrisk endometrial cancer: a pilot study. Ann Surg Oncol 2013; 20:2759-2764.
35. Kaouk JH, Goel RK, Haber GP, et al. Robotic single-port transumbilical surgery in humans: initial report. BJU Int 2009; 103:366-369.
36. Escobar PF, Kebria M, Falcone T. Evaluation of a novel single-port robotic platform in the cadaver model for the performance of various procedures in gynecologic oncology. Gynecol Oncol 2011; 120:380-384.
37. Nam EJ, Kim SW, Lee M, et al. Robotic single-port transumbilical total hysterectomy: a pilot study. J Gynecol Onco 2011; 22:120-126.
38. Fagotti A, Corrado G, Fanfani F, et al. Robotic single-site hysterectomy (RSSH) vs. laparoendoscopic single-site hysterectomy (LESS-H) in early endometrial cancer: a double-institution case-control study. Gynecol Oncol 2013; 130:219-223.
39. Sendag F, Akdemir A, Zeybek B, et al. Single-site robotic total hysterectomy: standardization of technique and surgical outcomes. J Minim Invasive Gynecol 2014. pii: S1553-4650(14)00144-7.