title: Laparoendoscopic single-site surgery (LESS) for ovarian cyst enucleation: report of first 3 cases.
abstract: OBJECTIVE
  To report the feasibility of ovarian cyst enucleation by using a laparoendoscopic single-site trocar through a transumbilical access.
  
  
  METHODS
  Case reports.
  
  
  METHODS
  Teaching and research hospital.
  
  
  METHODS
  Three patients affected by large ovarian cysts.
  
  
  METHODS
  Enucleation of three large ovarian cysts by using a laparoendoscopic single-site approach with a new multiport trocar and standard laparoscopic instruments.
  
  
  METHODS
  Conversion to a multiaccess standard laparoscopic technique.
  
  
  RESULTS
  No conversion to multiaccess standard laparoscopic technique and no intraoperative or postoperative complications were observed. Mean operative time was 79.6 minutes. All patients were discharged home on day 1.
  
  
  CONCLUSIONS
  Laparoendoscopic single-site enucleation of large ovarian cysts with ovary sparing is feasible with standard laparoscopic instruments, safe and effective, with good results in terms of cosmesis and postoperative pain. More clinical data are needed to confirm these advantages compared with standard laparoscopic technique.
authors: Division of Gynecologic Oncology, Catholic University of the Sacred Heart, Rome, Italy. Electronic address: annafagotti@hotmail.com.
authors: Anna
authors: A
authors: Fagotti
authors: Division of Gynecologic Oncology, Catholic University of the Sacred Heart, Rome, Italy.
authors: Francesco
authors: F
authors: Fanfani
authors: Division of Gynecologic Oncology, Ospedale Mauriziano "Umberto I," Turin, Italy.
authors: Francesco
authors: F
authors: Marocco
authors: Division of Gynecologic Oncology, Catholic University of the Sacred Heart, Rome, Italy.
authors: Cristiano
authors: C
authors: Rossitto
authors: Division of Gynecologic Oncology, Catholic University of the Sacred Heart, Rome, Italy.
authors: Valerio
authors: V
authors: Gallotta
authors: Division of Gynecologic Oncology, Catholic University of the Sacred Heart, Rome, Italy.
authors: Giovanni
authors: G
authors: Scambia
mesh_terms: D000328:Adult; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D010048:Ovarian Cysts / Q000601:surgery*; D016896:Treatment Outcome