Role of single-site and mini-laparoscopy in gynecologic surgery

Delgado-Sánchez, Elsa; PEAY-PINACHO, John A.; Gutiérrez, Alicia Hernández; Bernardi, Julio Álvarez; Zapardiel, Ignacio

doi:10.23736/s2724-606x.20.04607-9

Cited by 8 publications

(3 citation statements)

References 56 publications

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“…When the literature is reviewed, today many surgical procedures can be performed as mini-laparoscopic, including the cases requiring organ resection. [4,5] Laparoscopic Nissen fundoplication is accepted as the gold standard in case of surgical indication in gastroesophageal reflux disease. [6] It is traditionally made using 2.10 mm and 3.5 mm ports.…”

Section: Discussionmentioning

confidence: 99%

How much more can minimally invasive surgery be minimized? Mini-Laparoscopic Nissen Fundoplication in Adults

Okut¹

2021

Laparosc Endosc Surg Sci

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Introduction: Mini-laparoscopy has become a current issue as a minimally invasive technique in gastroesophageal reflux surgery, which does not require specimen extraction. There are a limited number of cases of Nissen fundoplication performed in the adult age group using the mini-laparoscopic method. In this article, our aim is to draw attention to the fact that mini-laparoscopy is a preferable technique in Nissen fundoplication surgery. Materials and Methods:Seven patients underwent mini-laparoscopic Nissen fundoplication between January 2010 and December 2019. Demographic data and perioperative parameters were analyzed retrospectively.Results: Three of our patients (43%) were female and the average age of our patients was 45.4±11.1. All patients presented with complaints of heartburn and regurgitation. There was Barrett metaplasia in the pathology results and no dysplasia was observed in any patient. Mean operation time was 117±49.9 min, bleeding amount was <10 ml in all surgeries. The median time to oral intake was 8 th post-operative h, and no complications developed in any of our patients. In the post-operative period, there was no need for narcotic analgesic, after a single dose of nonsteroidal anti-inflammatory drugs, the treatment was continued with two doses of oral analgesic. Median length of stay hospital was 3 (2-4) days, the median follow-up period was 67 (29-120) months. Conclusion:Anti-reflux surgery can be easily performed, mini-laparoscopically since it is not a resective surgical procedure. It can provide advantages such as better cosmesis, less port site complications, and less analgesic use.

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Section: Discussionmentioning

confidence: 99%

How much more can minimally invasive surgery be minimized? Mini-Laparoscopic Nissen Fundoplication in Adults

Okut¹

2021

Laparosc Endosc Surg Sci

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“…Gynecological laparoscopic surgery, as the "gold standard" of gynecological surgery, has gradually replaced the traditional gynecological laparotomy over the past 30 years. [7][8][9] Although gynecological laparoscopic surgery is a typical minimally invasive surgery, it is not a risk-free procedure. The incidence of PONV in Jiang Liu and Shirong Fang contributed equally to this study.…”

Section: Introductionmentioning

confidence: 99%

A web‐based dynamic predictive model for postoperative nausea and vomiting in patient receiving gynecological laparoscopic surgery

Liu,

Fang,

Cheng

et al. 2024

J of Obstet and Gynaecol

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ObjectiveThe aim of this study was to develop a web‐based dynamic prediction model for postoperative nausea and vomiting (PONV) in patients undergoing gynecologic laparoscopic surgery.MethodsThe patients (N = 647) undergoing gynecologic laparoscopic surgery were included in this observational study. The candidate risk‐factors related to PONV were included through literature search. Lasso regression was utilized to screen candidate risk‐factors, and the variables with statistical significance were selected in multivariable logistic model building. The web‐based dynamic Nomogram was used for model exhibition. Accuracy and validity of the experimental model (EM) were evaluated by generating receiver operating characteristic (ROC) curves and calibration curves. Hosmer–Lemeshow test was used to evaluate the goodness of fit of the model. Decision curve analysis (DCA) was used to evaluate the clinical practicability of the risk prediction model.ResultsUltimately, a total of five predictors including patient‐controlled analgesia (odds ratio [OR], 4.78; 95% confidence interval [CI], 1.98–12.44), motion sickness (OR, 4.80; 95% CI, 2.71–8.65), variation of blood pressure (OR, 4.30; 95% CI, 2.41–7.91), pregnancy vomiting history (OR, 2.21; 95% CI, 1.44–3.43), and pain response (OR, 1.64; 95% CI, 1.48–1.83) were selected in model building. Assessment of the model indicates the discriminating power of EM was adequate (ROC‐areas under the curve, 93.0%; 95% CI, 90.7%–95.3%). EM showed better accuracy and goodness of fit based on the results of the calibration curve. The DCA curve of EM showed favorable clinical benefits.ConclusionsThis dynamic prediction model can determine the PONV risk in patients undergoing gynecologic laparoscopic surgery.

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“…Laparoendoscopic single-site surgery (LESS) is a minimally invasive surgical technique via a single incision, which was developed as a less invasive alternative to conventional laparoscopy. Recently, LESS has been widely used in many fields including gynecologic surgery (9). Several advantages of LESS over multiport laparoscopy during pregnancy have been indicated.…”

Section: Introductionmentioning

confidence: 99%

Laparoendoscopic single-site surgery for adnexal disease during pregnancy: A single-center preliminary experience

et al. 2022

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PurposeThis study aimed to evaluate the safety and efficacy of laparoendoscopic single-site surgery (LESS) in treating adnexal disease during pregnancy.MethodsMedical records of included patients were retrospectively reviewed and follow-ups of all the patients were performed until the delivery of the fetus. The clinical characteristics, surgical interventions, postoperative complications, and pregnancy outcomes were analyzed.ResultsSix cases were included, with the gestational age ranging from 19 to 31 weeks 1 day. Procedures included salpingo-oophorectomy (n = 3), ovarian or paratubal cystectomy with detorsion (n = 2), and adnexal detorsion (n = 1). The median duration of surgery was 35 min (range, 20–60 min), and the estimated blood loss ranged from 5 to 50 ml. No major intraoperative or postoperative complications were noted. The final pathologic results included high-grade serous ovarian carcinoma, ovarian borderline serous cystadenoma, ovarian simple cyst, endometrioma, and mesosalpinx cyst. Five patients had a spontaneous vaginal delivery at full-term, and one patient had a cesarean section preterm followed by comprehensive staging surgery of ovarian cancer.ConclusionBased on the data we included, LESS performed by experienced surgeons appeared to be a safe and feasible alternative to multiport laparoscopic surgery for the management of selected patients with adnexal disease during pregnancy. More studies with large sample sizes at multiple centers are warranted.

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Role of single-site and mini-laparoscopy in gynecologic surgery

Cited by 8 publications

References 56 publications

How much more can minimally invasive surgery be minimized? Mini-Laparoscopic Nissen Fundoplication in Adults

How much more can minimally invasive surgery be minimized? Mini-Laparoscopic Nissen Fundoplication in Adults

A web‐based dynamic predictive model for postoperative nausea and vomiting in patient receiving gynecological laparoscopic surgery

Laparoendoscopic single-site surgery for adnexal disease during pregnancy: A single-center preliminary experience

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