Abstract
Conventional laparoscopy is the preferred approach for many, if not most, major gynecologic procedures that require abdominal access. Conventional laparoscopic instrumentation and access devices as well as robotic-assisted laparoscopic instrumentation are improving rapidly. Whether conventional or robotic laparoscopy is considered, we prefer to minimize the size and number of ports. Many surgical procedures are customarily performed via 3–5 ports through small incisions in the abdominal wall. Each additional port carries a small but not negligible risk for port site complications [1]. These risks include bleeding, infection, injury to nearby organs, soft tissue trauma, herniation, and decreased cosmesis [2, 3].
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References
Tracy CR, Raman JD, Cadeddu JA, Rane A. Laparoendoscopic single-site surgery in urology: where have we been and where are we heading? Nat Clin Pract Urol. 2008;5:561–8.
Escobar PF, Starks DC, Fader AN, et al. Single-port risk-reducing salpingo-oophorectomy with and without hysterectomy: surgical outcomes and learning curve analysis. Gynecol Oncol. 2010a;119:43–7.
Escobar PF, Starks DC, Fader AN, et al. Laparoendoscopic single-site and natural orifice surgery in gynecology. Fertil Steril. 2010b;94:2497–502.
Wheeless CR Jr. Elimination of second incision in laparoscopic sterilization. Obstet Gynecol. 1972;39:134–6.
Pelosi MA, Pelosi MA III. Laparoscopic hysterectomy with bilateral salpingo-oophorectomy using a single umbilical puncture. N J Med. 1991;88:721–6.
Gill IS, Advincula AP, Aron M. Consensus statement of the consortium for laparoendoscopic single-site surgery. Surg Endosc. 2010;24(4):762–8.
Stepp KJ. et al. An AAGL Task Force consensus statement: a standardized approach to LESS hysterectomy. American Association of Gynecologic Laparoscopists 43nd Annual Clinical Meeting, Vancouver, BC. November 16–21, 2014.
Hong SH, Seo SI, Kim JC, Hwang TK. Cosmetic circumumbilical incision for extraction of specimen after laparoscopic radical prostatectomy. J Endourol. 2006;20(7):519–21.
Huang CK, Houng JY, Chiang CJ, et al. Single incision transumbilical laparoscopic Roux-en-Y gastric bypass: a first case report. Obes Surg. 2009;19:1711–5.
Kane S, Stepp KJ. Circumumbilical (Omega) incision for laparoendoscopic single-site surgery. Oral Presentation: Society Gynecologic Surgeons Annual Clinical Meeting, San Antonio, TX, April 2011.
Angioni S, Pontis A, Pisanu A, et al. Single-port access subtotal laparoscopic hysterectomy: a prospective case-control study. J Minim Invasive. 2015;22:809–12.
Uppal S, Frumaovitz M, Escobar P. Laparoendoscopic single-site surgery in gynecology: review of literature and available technology. J Minim Invasive. 2011;18:12–23.
Lee YY, Kim TJ, Kim CJ, et al. Single-port access laparoscopic-assisted vaginal hysterectomy: a novel method with a wound retractor and a glove. J Minim Invasive Gynecol. 2009;16(4):450–3.
Sobolewski C, Yeung PP, Hart S. Laparoendoscopic single-site surgery in gynecology. Obstet Gynecol Clin N Am. 2011;11:741–55.
Fader AN, Escobar PF. Laparoendoscopic single-site surgery (LESS) in gynecologic oncology: technique and initial report. Gynecol Oncol. 2009;114:157–61.
Chern BSM, Lakhotia S, Kho CK, et al. Single incision laparoscopic surgery in gynecology: evolution, current trends, and future perspectives. Gynecol Minim Invasive Ther. 2012;1:9–18.
Boruta DM. Laparoendoscopic single-site surgery in gynecologic oncology: an update. Gynecol Oncol. 2016;141:616–23.
White W, Goel R, Kaouk J. Single port laparoscopic retroperitoneal surgery: initial operative experience and comparative outcomes. Urology. 2009;73:1279–82.
Song T, Cho J, Kim TJ, Kim IR, et al. Cosmetic outcomes of laparoendoscopic single-site hysterectomy compared with multi-port surgery: randomized controlled trial. J Minim Invasive Gynecol. 2013a;20(4):460–7.
Song T, Lee Y, Kim ML, et al. Single-port access total laparoscopic hysterectomy for large uterus. Gynecol Obstet Investig. 2013b;75:16–20.
Song T, Kim ML, Jung YW, et al. Laparoendoscopic single-site versus conventional laparoscopic gynecologic surgery: a meta-analysis of randomized controlled trials. Am J Obstet Gynecol. 2013c;209:317.e1–9.
Fagotti A, Bottoni C, Vizzielli G, et al. Post operative pain after conventional laparoscopy and laparoendoscopic single site surgery (LESS) for benign adnexal disease: a randomized trial. Fertil Steril. 2011;96(1):255–9.
Yoo EH, Shim E. Single-port access compared with three-port laparoscopic adnexal surgery in a randomized controlled trial. J Int Med Res. 2013;41(3):673–80.
Yang L, Gao J, Zeng L, et al. Systematic review and meta-analysis of single-port versus conventional laparoscopic hysterectomy. Int J Gynecol Obstet. 2016;133:9–16.
Chen YJ, Wang PH, Ocampo EJ, et al. Single-port compared with conventional laparoscopic-assisted vaginal hysterectomy: a randomized controlled trial. Obstet Gynecol. 2011;117:906–12.
Yim GW, Jung YW, Paek J, et al. Transumbilical single port versus conventional total laparoscopic hysterectomy: surgical outcomes. Am J Obstet Gynecol. 2010;203:26.e1–6.
Escobar PF, Fader AN, Paraiso MF, et al. Robotic-assisted laparoendoscopic single-site surgery in gynecology: initial report and technique. J Minim Invasive. 2009;16:589–91.
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Stepp, K.J. ., Bastawros, D.A. (2018). Single-Port Surgery. In: Gomes-da-Silveira, G.G., da Silveira, G.P.G., Pessini, S.A. (eds) Minimally Invasive Gynecology. Springer, Cham. https://doi.org/10.1007/978-3-319-72592-5_4
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