title: Laparoendoscopic single-site surgery for the treatment of benign adnexal disease: a prospective trial.
abstract: Background. To validate feasibility, efficacy, and safeness of laparoscopic treatment of benign adnexal diseases through a single transumbilical access (LESS) in a prospective series of patients. Methods. A prospective clinical trial including 30 women has been conducted at the Division of Gynecology of Catholic University of Sacred Hearth of Rome. Patients underwent different laparoscopic procedures by LESS utilizing a multiport trocar and conventional straight laparoscopic instrumentation. Intra and perioperative outcome has been reported. Results. Ten mono/bilateral adnexectomies and 20 cystectomies have been performed by LESS approach. Laparoscopic procedures were completed through a single access in 28 cases (93.4%). No major intra- or postoperative complications were observed. Mean hospital stay was 1.3 days. Conclusions. LESS approach is feasible to treat benign adnexal disease with a very low conversion rate and no early or late complications. More clinical data are needed to confirm these advantages compared to standard laparoscopic technique.
authors.affiliation: Division of Gynecologic Oncology, Catholic University of the Sacred Heart, 00168 Rome, Italy.
authors.forename: Anna
authors.initials: A
authors.lastname: Fagotti
authors.forename: Francesco
authors.initials: F
authors.lastname: Fanfani
authors.forename: Cristiano
authors.initials: C
authors.lastname: Rossitto
authors.forename: Francesco
authors.initials: F
authors.lastname: Marocco
authors.forename: Valerio
authors.initials: V
authors.lastname: Gallotta
authors.forename: Federico
authors.initials: F
authors.lastname: Romano
authors.forename: Giovanni
authors.initials: G
authors.lastname: Scambia