title: [Influencing factors on surgical duration of ovarian cystectomy by single-port access].
abstract: OBJECTIVE
  To evaluate the factors influencing the operative duration of ovarian cystectomy by single-port access (SPA).
  
  
  METHODS
  Observational monocentric study from June 2010 to September 2012. Inclusive patients were patients with an indication of ovarian cystectomy may be done by laparoscopy. The procedures were performed by the SPA system LESS®. Factors evaluated were BMI of the patient, histological nature and size of the cyst.
  
  
  RESULTS
  We performed 54 cystectomy in 49 patients. SPA surgery was successfully completed in 53 patients. The median operative time was statistically longer for endometriotic cysts than dermoid cysts or serous-mucinous cysts (P=0.003). Cases exceeding 60minutes were significantly higher in the endometriosis group (P=0.005). There wasn't correlation found between the BMI of the patient and operative time (P=0.5). The operating time wasn't increased according to the size of the cyst (P=0.9).
  
  
  CONCLUSIONS
  Endometriotic cysts nature appears to be the only limiting factor of cystectomy by SPA. Further studies are needed to evaluate the factors that may limit the SPA actions.
authors: Service de gynécologie obstétrique, hôpital de la Conception, université Aix-Marseille-II, boulevard Baille, 13005 Marseille, France.
authors: S
authors: S
authors: Poizac
authors: Service de gynécologie obstétrique, hôpital de la Conception, université Aix-Marseille-II, boulevard Baille, 13005 Marseille, France.
authors: N
authors: N
authors: Ménager
authors: Service de gynécologie obstétrique, hôpital de la Conception, université Aix-Marseille-II, boulevard Baille, 13005 Marseille, France.
authors: C
authors: C
authors: Tourette
authors: Service de gynécologie obstétrique, hôpital de la Conception, université Aix-Marseille-II, boulevard Baille, 13005 Marseille, France.
authors: A
authors: A
authors: Gnisci
authors: Service de gynécologie obstétrique, hôpital de la Conception, université Aix-Marseille-II, boulevard Baille, 13005 Marseille, France.
authors: J-P
authors: JP
authors: Estrade
authors: Service de gynécologie obstétrique, hôpital de la Conception, université Aix-Marseille-II, boulevard Baille, 13005 Marseille, France. Electronic address: aubert.agostini@ap-hm.fr.
authors: A
authors: A
authors: Agostini
mesh_terms: D000293:Adolescent; D000328:Adult; D015992:Body Mass Index; D005260:Female; D006801:Humans; D007431:Intraoperative Complications / Q000453:epidemiology / Q000209:etiology; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods*; D061646:Operative Time; D009929:Organ Size; D010048:Ovarian Cysts / Q000453:epidemiology / Q000473:pathology / Q000601:surgery*; D010052:Ovariectomy / Q000009:adverse effects / Q000379:methods*; D011183:Postoperative Complications / Q000453:epidemiology / Q000209:etiology; D047368:Tumor Burden; D055815:Young Adult
keywords: Accès endoscopique unique; Cœlioscopie; Endometriosis; Endométriose; Kystectomie ovarienne; Laparoendoscopic single-site surgery (LESS); Ovarian cystectomy; Single-port access (SPA)