title: [Single laparoscopic access: initial experience].
abstract: OBJECTIVE
  To evaluate feasibility of single laparoscopic access with LESS(®) system.
  
  
  METHODS
  We conducted an open study from 1/7/2009 to 1/10/2010 in a single gynaecologic department. All procedures were performed by four operators. Procedures evaluated were total hysterectomy, adnexectomy and ovarian cystectomy. Feasibility, per- and postoperative data were reported.
  
  
  RESULTS
  We performed completely 24/25 (96 %) total hysterectomies by single laparoscopic access. Traditional laparoscopy and finally laparotomy was necessary for one patient. Bladder injury repaired by vaginal approach was reported in one patient. We performed 29 adnexectomies in 19 patients (nine unilaterals et 10 bilaterals) and six ovarian cystectomies in four patients (four unilaterals et two bilaterals). All procedures were performed successfully by single laparoscopic access. Parietal haematoma were reported in two patients.
  
  
  CONCLUSIONS
  Laparoscopic gynaecologic surgery by single access seems feasible with LESS(®) system for these procedures. Further study including larger number of patients and operators were necessary to confirm risks and advantages of this technique.
authors.affiliation: Service de gynécologie-obstétrique, hôpital La-Conception, 147 boulevard Baille, Marseille, France.
authors.forename: S
authors.initials: S
authors.lastname: Poizac
authors.forename: J-P
authors.initials: JP
authors.lastname: Estrade
authors.forename: M
authors.initials: M
authors.lastname: Marcelli
authors.forename: A
authors.initials: A
authors.lastname: Lazard
authors.forename: L
authors.initials: L
authors.lastname: Cravello
authors.forename: B
authors.initials: B
authors.lastname: Blanc
authors.forename: M
authors.initials: M
authors.lastname: Gamerre
authors.forename: A
authors.initials: A
authors.lastname: Agostini
mesh_terms: D000291:Adnexal Diseases / Q000601:surgery*; D000328:Adult; D005260:Female; D013509:Gynecologic Surgical Procedures; D006801:Humans; D007044:Hysterectomy / Q000295:instrumentation / Q000379:methods*; D010535:Laparoscopy / Q000295:instrumentation / Q000379:methods*; D008875:Middle Aged; D010048:Ovarian Cysts / Q000601:surgery*; D001743:Urinary Bladder / Q000293:injuries