Laparoendoscopic single-site surgery (LESS) for treatment of benign adnexal disease: single-center experience over 3-years.
OBJECTIVE
To describe the effects of laparoendoscopic single-site (LESS) surgery performed over 3 consecutive years to treat adnexal disease and to report patient perioperative outcomes.


METHODS
Retrospective clinical study (Canadian Task Force classification III).


METHODS
Tertiary care academic medical center.


METHODS
Women undergoing LESS because of a benign gynecologic indication, from January 2009 through December 2011.


METHODS
Women with benign adnexal disease ≤10 cm underwent LESS surgery through a single 1.5- to 2.0-cm umbilical incision. Intraoperative and postoperative outcomes were carefully recorded, including the need for postoperative rescue analgesia.


RESULTS
One hundred twenty-five patients were enrolled. Median patient age was 49 years, and median body mass index was 23. Surgical procedures included unilateral or bilateral salpingo-oophorectomy and unilateral or bilateral cyst enucleation. Median operative time was 48 minutes. Pain control was optimal, with an average visual analog score of 4/10. Both patients and surgeons were highly satisfied with the cosmetic result, and the cosmetic visual analog score was 9/10 at discharge and at 30 days after surgery. The number of women who underwent unilateral or bilateral salpingo-oophorectomy increased progressively and significantly yearly over the study period (16 vs 23 vs 40; p = .001). Median operative time for unilateral or bilateral salpingo-oophorectomy increased significantly from 2009 to 2010 and 2011 (34 vs 45 and 44 minutes; p = .001), together with median BMI (23 vs 23 vs 25; p = .04).


CONCLUSIONS
LESS is a desirable surgical approach in patients with simple adnexal disease.
Division of Gynecologic Oncology, Catholic University of the Sacred Heart, Rome, Italy. anna.fagotti@rm.unicatt.it
Anna
A
Fagotti
Carolina
C
Bottoni
Giuseppe
G
Vizzielli
Cristiano
C
Rossitto
Lucia
L
Tortorella
Giorgia
G
Monterossi
Francesco
F
Fanfani
Giovanni
G
Scambia
D000291:Adnexal Diseases / Q000601:surgery*; D000293:Adolescent; D000328:Adult; D000368:Aged; D015992:Body Mass Index; D016009:Chi-Square Distribution; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods; D008875:Middle Aged; D061646:Operative Time; D010048:Ovarian Cysts / Q000601:surgery; D010052:Ovariectomy / Q000639:trends; D010149:Postoperative Pain / Q000188:drug therapy* / Q000209:etiology; D017060:Patient Satisfaction; D012189:Retrospective Studies; D058994:Salpingectomy / Q000639:trends; D018709:Statistics, Nonparametric; D016896:Treatment Outcome; D055815:Young Adult