TY - JOUR
T1 - Laparoendoscopic single-site surgery in gynaecology
T2 - A new frontier in minimally invasive surgery
AU - Fader, Amanda Nickles
AU - Levinson, Kimberly L.
AU - Gunderson, Camille C.
AU - Winder, Abigail D.
AU - Escobar, Pedro F.
PY - 2011/1
Y1 - 2011/1
N2 - Review Objective: To review the recent developments and published literature on laparoendoscopic single-site (LESS) surgery in gynaecology. Recent Findings: Minimally invasive surgery has become a standard of care for the treatment of many benign and malignant gynaecological conditions. Recent advances in conventional laparoscopy and robotic-assisted surgery have favorably impacted the entire spectrum of gynaecological surgery. With the goal of improving morbidity and cosmesis, continued efforts towards refinement of laparoscopic techniques have lead to minimization of size and number of ports required for these procedures. LESS surgery is a recently proposed surgical term used to describe various techniques that aim at performing laparoscopic surgery through a single, small-skin incision concealed within the umbilicus. In the last 5 years, there has been a surge in the developments in surgical technology and techniques for LESS surgery, which have resulted in a significant increase in utilisation of LESS across many surgical subspecialties. Recently published outcomes data demonstrate feasibility, safety and reproducibility for LESS in gynaecology. The contemporary LESS literature, extent of gynaecological procedures utilising these techniques and limitations of current technology will be reviewed in this manuscript. Conclusions: LESS surgery represents the newest frontier in minimally invasive surgery. Comparative data and prospective trials are necessary in order to determine the clinical impact of LESS in treatment of gynaecological conditions.
AB - Review Objective: To review the recent developments and published literature on laparoendoscopic single-site (LESS) surgery in gynaecology. Recent Findings: Minimally invasive surgery has become a standard of care for the treatment of many benign and malignant gynaecological conditions. Recent advances in conventional laparoscopy and robotic-assisted surgery have favorably impacted the entire spectrum of gynaecological surgery. With the goal of improving morbidity and cosmesis, continued efforts towards refinement of laparoscopic techniques have lead to minimization of size and number of ports required for these procedures. LESS surgery is a recently proposed surgical term used to describe various techniques that aim at performing laparoscopic surgery through a single, small-skin incision concealed within the umbilicus. In the last 5 years, there has been a surge in the developments in surgical technology and techniques for LESS surgery, which have resulted in a significant increase in utilisation of LESS across many surgical subspecialties. Recently published outcomes data demonstrate feasibility, safety and reproducibility for LESS in gynaecology. The contemporary LESS literature, extent of gynaecological procedures utilising these techniques and limitations of current technology will be reviewed in this manuscript. Conclusions: LESS surgery represents the newest frontier in minimally invasive surgery. Comparative data and prospective trials are necessary in order to determine the clinical impact of LESS in treatment of gynaecological conditions.
KW - Conventional laparoscopy
KW - laparoendoscopic single-site surgery
KW - single port
KW - single-incision laparoscopic surgery
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U2 - 10.4103/0972-9941.72387
DO - 10.4103/0972-9941.72387
M3 - Article
C2 - 21197247
AN - SCOPUS:78650550436
SN - 0972-9941
VL - 7
SP - 71
EP - 77
JO - Journal of Minimal Access Surgery
JF - Journal of Minimal Access Surgery
IS - 1
ER -