Laparoendoscopic single-site surgery (LESS) for ovarian cyst enucleation: report of first 3 cases.
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.
Fagotti
Anna
A
Division of Gynecologic Oncology, Catholic University of the Sacred Heart, Rome, Italy. Electronic address: annafagotti@hotmail.com.
Fanfani
Francesco
F
Division of Gynecologic Oncology, Catholic University of the Sacred Heart, Rome, Italy.
Marocco
Francesco
F
Division of Gynecologic Oncology, Ospedale Mauriziano "Umberto I," Turin, Italy.
Rossitto
Cristiano
C
Division of Gynecologic Oncology, Catholic University of the Sacred Heart, Rome, Italy.
Gallotta
Valerio
V
Division of Gynecologic Oncology, Catholic University of the Sacred Heart, Rome, Italy.
Scambia
Giovanni
G
Division of Gynecologic Oncology, Catholic University of the Sacred Heart, Rome, Italy.
D000328:Adult; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D010048:Ovarian Cysts / Q000601:surgery*; D016896:Treatment Outcome