Single port entry – Are there any advantages?

Mencaglia, Luca; Mereu, Liliana; Carri, Giada; Arena, Ilaria; Khalifa, H; Tateo, Saverio; Angioni, Stefano

doi:10.1016/j.bpobgyn.2012.12.002

Cited by 40 publications

(29 citation statements)

References 83 publications

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“…Recently, even more, a single port approach for malignant disease is upcoming and discussed all on the boil [3][4][5].…”

Section: Discussionmentioning

confidence: 99%

“…In a study comparing single-port surgery and multiport surgery, Behnia-Willison et al reported that the single-port surgery improved cosmesis and reduced analgesic requirements [3], however others [4,8] have reported opposite results. In this study, the authors did not conduct a scientific investigation of the cosmetic outcome and recovery profile such as post-operative pain score and cost, further study might discover these questions.…”

Section: Discussionmentioning

confidence: 99%

“…Efforts to decrease the numbers and size of wounds were highlighted to date and the recent approach has been single-port laparoscopic surgery [3][4][5]. This study was conducted in order to evaluate the feasibility and safety of single-port laparoscopic hysterectomy compared with multi-port laparoscopic hysterectomy in treatment of benign uterine diseases.…”

Section: Introductionmentioning

confidence: 99%

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Single port laparoscopic hysterectomy: Feasibility and safety

Lee¹,

Yang²,

Ku³

et al. 2013

OJOG

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Objective: To evaluate the feasibility and safety of single-port laparoscopic hysterectomy comparing with multi-port laparoscopic hysterectomy in treatment of benign uterine diseases. Methods: Data were collected retrospectively by review of the medical records of 252 patients who underwent multi-port or single-port laparoscopic surgery for treatment of benign gynecologic diseases. Laparoscopy assisted vaginal hysterectomy (LAVH) was performed for single-port surgery and LAVH and total laparoscopic hysterectomy (TLH) were performed for multi-port surgery. Demographic variables were collected and analyzed by independent t-test and Pearson Chi-Square test. The primary outcome was analyzed by independent t-test and Fisher's Exact test. Results: A longer operative time was observed in the multi-port surgery group compared with that of the single-port group (p < 0.05). No difference with respect to change of Hemoglobin between the preoperative level and that of the postoperative first day, the number of days from the operation to discharge, uterine weight, and the rate of laparotomy conversion and complications were observed between the two groups. Conclusion: Single-port laparoscopic hysterectomy for treatment of benign uterine diseases is a safe and feasible method.

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“…Recently, even more, a single port approach for malignant disease is upcoming and discussed all on the boil [3][4][5].…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Single port laparoscopic hysterectomy: Feasibility and safety

Lee¹,

Yang²,

Ku³

et al. 2013

OJOG

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“…12 Fagotti et al published one of the largest series of cases, with 125 patients submitted to single-port surgery in gynecology over a 3-year period. 13 Although limited, there are already papers that cite the use of a single port in patients with malignant diseases, both for staging, and tumor excision and lymphadenectomy.…”

Section: Discussionmentioning

confidence: 99%

Single-site laparoscopy in gynecology: preliminary study of a series of 50 cases

Filho

Noviello

Damasceno

et al. 2014

Rev. Assoc. Med. Bras.

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Objective: to describe the initial experience of a gynecology team, at a tertiary care center, when performing single-port laparoscopic surgery. Method: this is a retrospective study reviewing the medical records of 50 patients treated at the outpatient gynecology clinic of our institution between June 2012 and July 2013 who underwent single-port laparoscopic surgery. This study was approved by the institution's Ethics in Research Committee. Result: the mean age of patients is 37.8 years, ranging from 18 to 70 years, and the most frequent surgical indications were adnexal mass (72%) and chronic pelvic pain (24%). The mean operative time was 94.4 minutes with a mean hospital stay of 25.8 hours. There were no perioperative complications. We recorded two conversions to laparotomy due to technical difficulties during the procedure. All cases of conversion had pelvic adhesions. All operative complications were successfully treated and none were considered severe. Conclusion: this is one of the largest case series in the literature regarding surgical treatment by single-port laparoscopy in gynecology and presents evidence on reduction of surgical morbidity and satisfactory cosmetic results. We conclude that single-port laparoscopy is a viable minimally invasive technique, and that it contributes to the construction of a new scenario in modern gynecological surgery.

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“…[2][3][4][5][6][7] A recent systematic review by Mencaglia et al identified 65 studies (17 case reports, 32 cases studies, 13 retrospective comparative studies and three randomized clinical trials) and reported that LESS is safe and feasible for most benign gynecologic surgeries. 8 A randomized clinical trial that evaluated LESS compared to conventional laparoscopic-assisted vaginal hysterectomy reported significant decreases in post-operative pain and analgesic use in the LESS-assisted vaginal hysterectomy group. 9 A comparative cross-sectional study on cosmetic outcomes after LESS and conventional laparoscopic gynecologic surgery reported that LESS offers better cosmetic and overall patient satisfaction.…”

mentioning

confidence: 99%