Perioperative outcomes of laparoendoscopic single-site surgery (LESS) versus conventional laparoscopy for adnexal disease: a case--control study.
Surg Innov
; 18(1): 29-33, 2011 Mar.
Article
in En
| MEDLINE
| ID: mdl-21245066
ABSTRACT
OBJECTIVE:
This study aimed to evaluate the potential advantages of laparoendoscopic single-site surgery (LESS) approach with respect to conventional laparoscopy.METHODS:
Thirty LESS patients were matched 21 with a previous cohort of 58 patients undergoing conventional laparoscopy for the same type of surgery (controls).RESULTS:
Median operative time (38.5 vs 54 minutes; P = .09) and estimated blood loss (20 vs 30 mL; P = .008) were more favorable in patients undergoing LESS treatment compared with those undergoing conventional laparoscopy. Rupture of the cyst was observed in 11 out of 30 cases (36.6%) and 26 of 58 controls (44.8%; P = .46). Median length of stay was 1 day in the cases and 2 in the controls (P = .03).CONCLUSIONS:
Decreases in operative time, estimated blood loss, or length of stay should not be considered a benefit attributable to LESS; rather it seems there are no differences between these 2 surgical approaches after an adequate selection of patients.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Adnexal Diseases
/
Laparoscopy
Type of study:
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Risk_factors_studies
Limits:
Adolescent
/
Adult
/
Aged
/
Female
/
Humans
/
Middle aged
Language:
En
Journal:
Surg Innov
Year:
2011
Document type:
Article
Affiliation country:
Italy