Laparoendoscopic Single-Site Surgery (LESS) for a Large Ovarian Tumour: First Clinical Case Report. (20th January 2011)

• Record Type: Journal Article
• Authors: Chua, Yao Dong; Ng, Ying Woo; Fong, Yoke Fai
• Other Names: Harold Kristi L. Academic Editor.
• Is Part Of: Minimally invasive surgery. Volume 2011(2011)
• Publication Date: 2011-01-20
• Subjects: Endoscopic surgery -- Periodicals; 617.05705
• DOI: 10.1155/2011/105643
• Languages: English
• ISSNs: 2090-1445

Abstract

Abstract : Objective . To report the feasibility of removing a 10 cm ovarian fibroma via a laparoendoscopic single-site trocar through trans-umbilical access. Design . Case report. Setting . Teaching and research hospital. Patient . A 64-year-old patient affected by a large 10 cm ovarian tumour. Intervention(s) . Bilateral salpingo-oophorectomy a large 10 cm ovarian tumour, using a laparoendoscopic single-site approach with a Covidien SILS multitrocar access device and standard laparoscopic instruments. Main Outcome Measure(s) . Conversion to standard laparoscopic technique or laparotomy, estimated blood loss, operative time, extent of scarring, occurrence of intra- and perioperative surgical complications, technical adequacy, and clinical outcome. Result(s) . No conversion to standard laparoscopic technique or laparotomy, and no intraoperative or postoperative complications were observed. Total operative time was 99 minutes. The patient was discharged home on postoperative day one. Conclusion(s) . Laparoendoscopic single-site bilateral salpingo-oophorectomy of a large ovarian tumour is feasible with standard laparoscopic instruments. It is safe and effective, with good results in terms of excellent cosmesis and minimal postoperative pain.