The advantages and disadvantages of laparoendoscopic single site surgery in the treatment of gynecological malignant tumors

doi:10.3877/cma.j.issn.1674-6899.2018.06.015

Abstract

Abstract:

Laparoendoscopic single site surgery(LESS) is a new generation of minimally invasive surgery, which is superior to traditional laparoscopic surgery in the concept. LESS is the development and supplement of traditional laparoscopic technology. In recent years, LESS has developed rapidly in gynecology and malignant tumor. For endoscope and operating instruments equipped with LESS are requied through a single site incision, there are many differents between traditional multi-hole laparoscopy and LESS.In this paper, the advantages and disadvantages of LESS in the treatment of gynecological malignant tumors are discussed in combination with literature and experience of our hospital.

Key words: Laparoendoscopic single site surgery, Gynecological malignant tumor, Advantages, Disadvantages

Xiaorong Qi, Sijing Chen, Ying Zheng. The advantages and disadvantages of laparoendoscopic single site surgery in the treatment of gynecological malignant tumors[J]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2018, 11(06): 370-373.

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References 33

[1]	刘海元，孙大为，张俊吉，等. 《妇科单孔腔镜手术技术专家共识》解读 [J/CD]. 中华腔镜外科杂志(电子版), 2017, 10(1): 1-6.
[2]	Yang J, Na YJ, Song YJ, et al. The effectiveness of laparoendoscopic single-site surgery (LESS) compared with conventional laparoscopic surgery for ectopic pregnancy with hemoperitoneum [J]. Taiwanese journal of obstetrics & gynecology, 2016, 55(1): 35-39.
[3]	Chen SY, Sheu BC, Huang SC，et al. Laparoendoscopic single-site myomectomy using conventional laparoscopic instruments and glove port technique: four years experience in 109 cases[J]. Taiwanese Journal of Obstetrics and Gynecology, 2017, 56(4)：467-471.
[4]	Balusamy S, Salgaonkar HP, Behera RR, et al. Laparoendoscopic single-site adnexal surgery: preliminary indian experience [J]. J Minim Access Surg, 2017, 13(3): 170-175.
[5]	Sandberg EM, Chapelle CFL, Tweel MMVD，et al. Laparoendoscopic single-site surgery versus conventional laparoscopy for hysterectomy: a systematic review and meta-analysis[J]. Archives of Gynecology & Obstetrics, 2017, 295(5)：1089-1103.
[6]	Yanishi M, Kinoshita H, Mishima T, et al. Influence of scars on body image consciousness with respect to gender following laparoendoscopic single-site versus conventional laparoscopic surgery [J]. Scand J Urol, 2017, 51(1): 57-61.
[7]	Raman JD, Bensalah K, Bagrodia A, et al. Laboratory and clinical development of single keyhole umbilical nephrectomy [J]. Urology, 2007, 70(6): 1039-1042.
[8]	Fader AN, Escobar PF. Laparoendoscopic single-site surgery (LESS) in gynecologic oncology: technique and initial report [J]. Gynecologic oncology, 2009, 114(2): 157-161.
[9]	Fader AN, Rojas-Espaillat L, Ibeanu O, et al. Laparoendoscopic single-site surgery (LESS) in gynecology: a multi-institutional evaluation [J]. Am J Obstet Gynecol, 2010, 203(5): 1-6.
[10]	Fanfani F, Rossitto C, Gagliardi ML, et al. Total laparoendoscopic single-site surgery (LESS) hysterectomy in low-risk early endometrial cancer: a pilot study [J]. Surg Endosc, 2012, 26(1): 41-46.
[11]	Fagotti A, Ii DMB, Scambia G, et al. First 100 early endometrial cancer cases treated with laparoendoscopic single-site surgery: a multicentric retrospective study[J]. American Journal of Obstetrics and Gynecology, 2012, 206(4)：3530-3530.
[12]	Garrett LA, Boruta DM. Laparoendoscopic single-site radical hysterectomy: the first report of LESS type Ⅲ hysterectomy involves a woman with cervical cancer [J]. Am J Obstet Gynecol, 2012, 207(6): 1-2.
[13]	Tergas AI, Fader AN. Laparoendoscopic single-site surgery (LESS) radical hysterectomy for the treatment of early stage cervical cancer [J]. Gynecologic oncology, 2013, 129(1): 241-243.
[14]	Boruta DM, Fagotti A, Bradford LS, et al. Laparoendoscopic single-site radical hysterectomy with pelvic lymphadenectomy: initial multi-institutional experience for treatment of invasive cervical cancer [J]. Journal of minimally invasive gynecology, 2014, 21(3): 394-398.
[15]	刘木彪，蔡慧华. 全国首例单孔腹腔镜手术治疗妇科恶性肿瘤 [J]. 南方医科大学学报，2011, 31(9): 1619-1621.
[16]	孙大为，张俊吉，熊巍，等. 单孔腹腔镜下子宫内膜癌分期手术的临床报告 [J/CD]. 中华腔镜外科杂志(电子版), 2014, 7(1): 10-13.
[17]	王延洲，陈诚，徐嘉莉，等. "筷子法"单孔腹腔镜技术在宫颈癌中的应用[J/CD]. 中华腔镜外科杂志(电子版), 2018, 11(1): 28-31.
[18]	Abdel-Karim AM, Elhenawy IM, Eid AA, et al. Laparoendoscopic single-site surgery for the treatment of different urological pathologies: defining the learning curve of an experienced laparoscopist [J]. Arab J Urol, 2017, 15(3): 187-193.
[19]	Moulton L, Jernigan AM, Carr C, et al. Single-port laparoscopy in gynecologic oncology: seven years of experience at a single institution [J]. Am J Obstet Gynecol, 2017, 217(5): 1-8.
[20]	Antoniou SA, Garcia-Alamino JM, Hajibandeh S, et al. Single-incision surgery trocar-site hernia: an updated systematic review meta-analysis with trial sequential analysis by the minimally invasive surgery synthesis of interventions outcomes network (MISSION) [J]. Surgical endoscopy, 2018, 32(1): 14-23.
[21]	Moulton LJ, Michener CM, Levinson K, et al. Compliance with research standards within gynecologic oncology fellowship: a gynecologic oncology fellowship research network (GOFRN) study [J]. Gynecologic oncology, 2017, 146(3): 647-652.
[22]	Gunderson CC, Knight J, Ybanez-Morano J, et al. The risk of umbilical hernia and other complications with laparoendoscopic single-site surgery [J]. Journal of minimally invasive gynecology, 2012, 19(1): 40-45.
[23]	Moulton LJ, Jernigan AM, Michener CM. Postoperative outcomes after single-port laparoscopic removal of adnexal masses in patients referred to gynecologic oncology at a large academic center [J]. Journal of minimally invasive gynecology, 2017, 24(7): 1136-1144.
[24]	Fagotti A, Bottoni C, Vizzielli G, et al. Postoperative pain after conventional laparoscopy and laparoendoscopic single site surgery (LESS) for benign adnexal disease: a randomized trial [J]. Fertility and sterility, 2011, 96(1): 255-259.
[25]	孙大为. 妇科单孔腹腔镜手术学[M]. 北京：北京大学出版社，2015.
[26]	Wang D, Shi L Q, Wang JM, et al. Comparison of different sets of instruments for laparoendoscopic single-site surgery in a surgical simulator with novices [J]. ANZ J Surg, 2016, 86(4): 264-269.
[27]	Vilaca J, Pinto JP, Fernandes S, et al. Comparative study of 2D and 3D optical imaging systems: laparoendoscopic single-site surgery in an ex vivo model [J]. Surg Innov, 2017, 24(6): 598-604.
[28]	王春阳，韩璐，郭凤. 悬吊线法经脐单孔腹腔镜在妇科手术的应用 [J/CD]. 中华腔镜外科杂志(电子版), 2018，1(1): 35-38.
[29]	Buckley DMA, Kim J, Dinkelspiel H, et al. Feasibility and learning curve of robotic laparoendoscopic single-site surgery in gynecology [J]. Journal of minimally invasive gynecology, 2017, 24(2): 323-328.
[30]	Sanchez-Margallo FM, Sanchez-Margallo JA. Assessment of postural ergonomics and surgical performance in laparoendoscopic single-site surgery using a handheld robotic device [J]. Surg Innov, 2018, 25(3)：208-217.
[31]	Escobar PF, Fader AN, Paraiso MF, et al. Robotic-assisted laparoendoscopic single-site surgery in gynecology: initial report and technique [J]. Journal of minimally invasive gynecology, 2009, 16(5): 589-591.
[32]	Moukarzel LA, Fader AN, Tanner EJ. Feasibility of robotic-assisted laparoendoscopic single-site surgery in the gynecologic oncology setting [J]. Journal of minimally invasive gynecology, 2017, 24(2): 258-263.
[33]	Yoo JG, Kim WJ, Lee KH. Single-site robot-assisted laparoscopic staging surgery for presumed clinically early-stage ovarian cancer [J]. Journal of minimally invasive gynecology, 2018, 25(3): 380-381.

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