Traitement de la grossesse extra-utérine par accès endoscopique unique avec le système SILS® : expérience initiale

Lamourdedieu, C.; Rua, Sandrine; Lazard, A.; Marcelli, M.; Cravello, L.; Gamerre, M.; Agostini, Aubert

doi:10.1016/j.jgyn.2011.06.006

Cited by 7 publications

(2 citation statements)

References 29 publications

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“…This may have contributed to the low complication rate. On the other hand, it has been suggested that the learning curve of a salpingectomy performed via LESS is a rapid one [15, 22]. …”

Section: Discussionmentioning

confidence: 99%

Conventional versus Single Port Laparoscopy for the Surgical Treatment of Ectopic Pregnancy: A Meta-Analysis

Gasparri¹,

Mueller²,

Taghavi³

et al. 2018

Gynecol Obstet Invest

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Background/Aims: A new minimally invasive laparoscopic approach for ectopic pregnancy, the laparo-endoscopic single site surgery (LESS), has recently been introduced. The aim of this study is to compare the surgical outcome of this approach with conventional laparoscopy for ectopic pregnancy. Method: A review following the Preferred Reporting Items for Systematic reviews and Meta-Analyses statement was performed. Electronic databases PubMed, MEDLINE, and Scopus were searched in December 2017 by searching the terms “single port laparoscopy” or “laparoendoscopic single site-surgery” or “single site laparoscopy” or “single-incision laparoscopic surgery” and “ectopic pregnancy.” Studies comparing the 2 techniques and reporting surgical outcome were selected. Endpoints included comparison of length of operative time (OT), hemoglobin drop, length of hospitalization, number of patients requiring packed red blood cells (PRBC) transfusion, intra- and post-operative complication rates between patients undergoing conventional laparoscopy and those undergoing LESS. Results: A total of 56 studies were retrieved of which 5 studies including 460 patients met selection criteria. No differences were found between conventional laparoscopy and LESS with regards to length of OT time (even after stratification for presence of hemoperitoneum and/or adhesions), length of hospitalization, mean hemoglobin drop, number of patients requiring transfusions of PRBC, and intra- and post-operative complications. Conclusion: The management of ectopic pregnancies with LESS does not seem to be superior to conventional laparoscopy.

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“…This may have contributed to the low complication rate. On the other hand, it has been suggested that the learning curve of a salpingectomy performed via LESS is a rapid one [15, 22]. …”

Section: Discussionmentioning

confidence: 99%

Conventional versus Single Port Laparoscopy for the Surgical Treatment of Ectopic Pregnancy: A Meta-Analysis

Gasparri¹,

Mueller²,

Taghavi³

et al. 2018

Gynecol Obstet Invest

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show abstract

“…[10][11][12][13][14][15][16] A number of studies have demonstrated that this technology is feasible in appendage surgery. [17][18][19] Recent success in the treatment of a benign tumour with a single-port laparoscopic operation. 11,[20][21][22][23] In a randomized, controlled clinical trial, there was a lower rate of acute post-operative pain in patients who received SPL than those who received conventional laparoscopy (CL).…”

Section: Introductionmentioning

confidence: 99%

Effect of two different laparoscopic techniques on post‐operative wound complications in patients with benign gynaecological diseases: A meta‐analysis

He,

Li,

Cui

et al. 2023

International Wound Journal

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Single‐port laparoscopy (SPL) has existed for several years. This meta‐analysis was conducted to evaluate the efficacy of SPL compared with conventional laparoscopy (CL) in the treatment of benign gynecologic adnexal lesions. The purpose of this meta‐analysis is to evaluate the superiority of SPL versus CL in the treatment of post‐operative wound pain. The study looked for English‐language publications from PubMed, Embase, Cochrane Library and the Web of Science until June 2023. The main result was the visual analogue scale (VAS) after 2, 4, 6, 8, 12, 24 and 48 h after operation. The paper contains 10 related papers by means of e‐search. Of these, 4 were randomized controlled trials (RCTs), while 6 were non‐RCTs. The results indicated that SPL and CL were significantly different after 2, 24 and 48 h after operation. SPL had lower post‐operative pain after 2 h compared with CL (MD, −0.6; 95% CI, −0.98, −0.21; p = 0.002). After the operation, SPL also had a lower incidence of post‐operative pain after 24 h compared with CL (MD, −0.59; 95% CI, −1.12, −0.06; p = 0.03). And the difference in pain was at 48 h after the most significant (MD, −0.49; 95% CI, −0.75, −0.23; p = 0.0002). But after 6, 8 and 12 h after operation, there was no significant difference in the degree of pain. Thus, SPL operations may result in a lower degree of pain than CL in both the post‐operative and far post‐operative phase.

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Single-port laparoscopic surgery in gynecology—current status

Kondo

Ribeiro²,

Zomer

2012

Gynecol Surg

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The objective of this study is to report the current status on single-port laparoscopic surgery in gynecology. A systematic MEDLINE review of the English language literature from 2007 to 2011 was performed using the search term "single-port surgery," which contained information on single-port laparoscopic surgery in gynecology. Overall, 1,152 patients (26 studies) were included in the analysis. The operative time varied according to the type of procedure. The conversion rate to conventional laparoscopy was 1.99 %, and the conversion rate to laparotomy was 0.35 %. Postoperative complications were encountered in 1.48 % of cases. Different gynecologic procedures have been effectively performed by means of single-port laparoscopic surgery. The procedure seems to be feasible, reproducible, and safe. Reduced pain and improved cosmesis are supposed to be the potential advantages of these procedures, but it was not completely confirmed yet! Further studies are still necessary to establish the real benefits of this new surgical approach over the traditional multi-port laparoscopy.

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Traitement de la grossesse extra-utérine par accès endoscopique unique avec le système SILS® : expérience initiale

Cited by 7 publications

References 29 publications

Conventional versus Single Port Laparoscopy for the Surgical Treatment of Ectopic Pregnancy: A Meta-Analysis

Conventional versus Single Port Laparoscopy for the Surgical Treatment of Ectopic Pregnancy: A Meta-Analysis

Effect of two different laparoscopic techniques on post‐operative wound complications in patients with benign gynaecological diseases: A meta‐analysis

Single-port laparoscopic surgery in gynecology—current status

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