Comparison of single-incision and conventional laparoscopic surgery for benign adnexal masses

Karasu, Yetkin; Akselim, Burak; Kavak, Duygu; Ergün, Yusuf; Ülker, Kahraman

doi:10.1080/13645706.2017.1299763

Cited by 6 publications

(12 citation statements)

References 21 publications

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“…The characteristics of these 13 studies, including four RCTs9–12 and nine retrospective studies,13–21 are shown in tables 1 and 2. The geographic distribution of these study institution was varied, with seven reports from Korea, two from Italy and one from America, England, China and Turkey, respectively.…”

Section: Resultsmentioning

confidence: 99%

“…Nine studies9–15 19 20 including 846 patients reported perioperative complications. In the pooled analysis, LESS group had more perioperative complications than CL group (6.59% and 2.85%; OR: 2.08; 95% CI: 1.05 to 4.11, p=0.04) (table 3 figure 4).…”

Section: Resultsmentioning

confidence: 99%

“…Seven studies9–12 15 17 19 including 1033 patients evaluated postoperative pain scores using VAS at 4 hours after the end of surgery. There was no significant difference between the two groups (WMD: −0.28; 95% CI: −0.62 to 0.05; p=0.10).…”

Section: Resultsmentioning

confidence: 99%

“…All studies9–21 reported operative time for 1542 patients, and the LESS group had longer operative time than the CL group (WMD: 3.43 min; 95% CI: −0.03 to 6.88; p=0.05). Significant heterogeneity was found between these studies (χ²=34.85, df=12, p＜0.001; I²=66%)(figure 6).…”

Section: Resultsmentioning

confidence: 99%

“…Seven studies11–13 16–18 20 reported length of hospital stay in 816 patients, and the pooled data showed a significant difference favouring the LESS group (WMD: −0.24 days; 95% CI: −0.35 to −0.14; p＜0.001) (figure 8A).…”

Section: Resultsmentioning

confidence: 99%

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Laparoendoscopic single-site surgery compared with conventional laparoscopic surgery for benign ovarian masses: a systematic review and meta-analysis

et al. 2020

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ObjectiveWe aimed to evaluate the safety, efficiency and preferred indication for laparoendoscopic single-site surgery (LESS) compared with conventional laparoscopic (CL) surgery for benign ovarian masses.DesignA systemic review and cumulative meta-analysis were performed in line with the criteria of Grading of Recommendations Assessment, Development and Evaluation: levels of evidence and grades of recommendation.Data sourcesWe comprehensively searched the electronic databases including PubMed, Medline, Embase and the Cochrane Library in November 2018.Eligibility criteria for selecting studiesWe included all randomised controlled trials (RCTs) and retrospective studies published in recent 10 years, which investigated the performance of LESS versus CL in patients at all ages with benign ovarian masses.ResultsFour RCTs and nine retrospective studies published in recent decade including 1542 cases (744 cases for LESS and 798 cases for CL) were identified. Perioperative complication was consisted of intraoperative and postoperative complications, including ileus, wound infection or dehiscence and incisional hernia. Although LESS has less postoperative analgesic consumption (46.78% and 79.25%; OR: 0.49; 95% CI: 0.33 to 0.74, p<0.001) and shorter hospital stay (weighted mean difference (WMD): −0.24 days; 95% CI: −0.35 to −0.14; p<0.001), CL has less perioperative complications (6.59% and 2.85%; OR: 2.08; 95% CI: 1.05 to 4.11, p=0.04) and shorter operative time (WMD: 3.43 min; 95% CI: −0.03 to 6.88; p=0.05). Body mass index, history of previous abdominal surgery, size of adnexal mass, estimated blood loss and postoperative pain scores did not differ significantly between two techniques.ConclusionsThe indications of LESS for benign ovarian masses are similar to CL and it has better postoperative recovery. However, with less perioperative complications, CL surgery is safer than LESS.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Laparoendoscopic single-site surgery compared with conventional laparoscopic surgery for benign ovarian masses: a systematic review and meta-analysis

et al. 2020

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Clinical Comparison of Laparoendoscopic Single-site Surgery and Multiport Laparoscopic Surgery for the Removal of Ovarian Endometrioid Cyst

Yu¹,

Dong²,

Zhang³

et al. 2021

JGO

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Background: Endometriosis is a common, chronic gynecological disease. Laparoscopy is currently the preferred method of ovarian endometriosis. However, the safety and feasibility of laparoendoscopic single-site surgery for ovarian endometrioid cyst removal still need to be discussed. Objective: To explore the safety and feasibility of laparoendoscopic single-site (LESS) surgery versus conventional multiport laparoscopic (CMPL) surgery for the ovarian endometrioid cystectomy. Methods: We retrospectively analyzed the data of 47 patients who had undergone LESS and LESS ovarian cystectomy due to ovarian endometrioid cyst in our hospital from March 2018 to April 2019. The patients were classified into single-port group (14) and multiport group (33) based on surgical paths. The patients' general characteristics and perioperative outcomes compared. Results: There were no significant statistical differences between the two groups (P>0.05) in the operation time and the maximum body temperature in 24 h after operation. There were significant statistical differences (all P<0.05) in postoperative decrease of Hb, intraoperative bleeding volume, total hospital stay and CS score. Conclusion: LESS for ovarian endometrioid cyst removal is safe and feasible, and it better than CMPL in relieving postoperative pain and inproving cosmetic effects and so on.

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A preoperative scoring system to predict the probability of laparoendoscopic single-site extracorporeal cystectomy in patients with benign ovarian cysts

Tan

Deng²,

Deng³

et al. 2022

Front. Surg.

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ObjectiveTo develop a preoperative scoring system (PSS) to predict whether laparoendoscopic single-site extracorporeal (LESS-E) cystectomy can be performed in patients with benign ovarian cysts.MethodWe reviewed data on patients who underwent LESS cystectomy between August 2016 and October 2019 at the first Affiliated Hospital, Army Medical University. The independent predictors of LESS-E cystectomy in patients with benign ovarian cysts were identified using multivariate logistic regression analyses. A nomogram for predicting LESS-E cystectomy in patients with benign ovarian cysts was developed, and to simplify the score, we establish a preoperative scoring system to guide the choice of surgical approach in patients with highly probable benign ovarian cysts.ResultsOur analysis showed that age, BMI, height and the diameter of ovarian cysts were independent predictors of LESS-E cystectomy. A nomogram was developed based on these four factors, which had a concordance index of 0.838 and R2 = 0.415. To simplify the score, the predicted indicators in the regression model were scored by dividing the beta coefficient by the absolute value of the minimum beta coefficient, and the sum of each predictor score established a PSS. In the total set, the selected cutoff value according to the maximum point of the Youden index was 8, and a preoperative score ≥ 8 identified patients undergoing LESS-E cystectomy with a positive predictive value of 67.4% and a negative predictive value of 88.6%.ConclusionA PSS to predict the chances of LESS-E cystectomy was established. This system could be helpful for selecting the appropriate surgical strategy for patients with benign ovarian cysts.

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Comparison of single-incision and conventional laparoscopic surgery for benign adnexal masses

Abstract: SILS seems to be effective and safe for the treatment of benign adnexal masses. SILS appears to be advantageous regarding postoperative pain especially in the early period.

Cited by 6 publications

References 21 publications

Laparoendoscopic single-site surgery compared with conventional laparoscopic surgery for benign ovarian masses: a systematic review and meta-analysis

Laparoendoscopic single-site surgery compared with conventional laparoscopic surgery for benign ovarian masses: a systematic review and meta-analysis

Clinical Comparison of Laparoendoscopic Single-site Surgery and Multiport Laparoscopic Surgery for the Removal of Ovarian Endometrioid Cyst

A preoperative scoring system to predict the probability of laparoendoscopic single-site extracorporeal cystectomy in patients with benign ovarian cysts

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