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Erschienen in:
01.01.2012
Total laparoendoscopic single-site surgery (LESS) hysterectomy in low-risk early endometrial cancer: a pilot study
Erschienen in: Surgical Endoscopy | Ausgabe 1/2012
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Background
In the last few years, technical advances have produced a dramatic shift from traditional open surgery toward a minimally invasive approach, even in oncological procedures. We present our initial experience with laparoendoscopic single-site surgery (LESS) in the surgical treatment of early-stage endometrial cancer patients.
Methods
Between July 2009 and May 2010, 20 consecutive low-risk early endometrial cancer patients were enrolled in this single institution prospective cohort trial.
Results
The median age of the patients was 57 years (range = 42–68) and median body mass index was 24 kg/m2 (range = 21–30). Median operative time was 105 min (range = 85–155) and median estimated blood loss was 20 ml (range = 10–180). The larger skin and fascial incision required for the single-port approach was 2.5 cm (median = 2.2 cm; range = 2.0–2.5). No laparoscopic/laparotomic conversion was registered, and no insertion of additional ports was necessary. Median ileus was 16 h (range = 12–20) and median time to discharge was 1 day (range = 1–2). All patients were completely satisfied with the cosmetic results and postoperative pain control.
Conclusions
Laparoendoscopic single-site surgery could represent a surgical option for extra-fascial hysterectomy in early-stage endometrial cancer patients, with the potential to further decrease invasiveness of the conventional laparoscopic approach.