Laparoendoscopic Single-Site Surgery for Extremely Large Ovarian Cysts: A Feasibility, Safety, and Patient Satisfaction Study
- Authors
- Song, T[Song, Taejong]; Kim, MK[Kim, Mi Kyoung]; Kim, ML[Kim, Mi-La]; Yoon, BS[Yoon, Bo Sung]; Seong, SJ[Seong, Seok Ju]
- Issue Date
- 2014
- Publisher
- KARGER
- Keywords
- Laparoendoscopic single-site surgery; Laparoscopy; Large ovarian cyst
- Citation
- GYNECOLOGIC AND OBSTETRIC INVESTIGATION, v.78, no.2, pp.81 - 87
- Indexed
- SCIE
SCOPUS
- Journal Title
- GYNECOLOGIC AND OBSTETRIC INVESTIGATION
- Volume
- 78
- Number
- 2
- Start Page
- 81
- End Page
- 87
- URI
- https://scholarworks.bwise.kr/skku/handle/2021.sw.skku/57068
- DOI
- 10.1159/000363237
- ISSN
- 0378-7346
- Abstract
- Background/Aims: To assess the feasibility, safety and patient satisfaction of laparoendoscopic single-site (LESS) surgery for extremely large ovarian cysts. Methods: We conducted a prospective study of LESS surgery among women with ovarian cysts with a minimum diameter >= 15 cm and with radiological and laboratory features suggestive of benign disease. The primary outcomes were perioperative complication rate, conversion rate and patient satisfaction. Results: A total of 21 consecutive patients underwent the following LESS surgery over a period of 17 months: ovarian cystectomy (76%), adnexectomy (10%) and staging procedure (14%). Histological findings included benign (85%), borderline (10%) and malignant tumors (5%). Spillage occurred for 2 patients (10%). LESS surgery was successful without conversion in 20 patients (95%). There was 1 perioperative complication with subcutaneous hematoma (5%). The median operative time and estimated blood loss were 79.8 min (39-155) and 60 ml (10-180), respectively. Patients were highly satisfied with the results of LESS surgery, with a mean surgery satisfaction score of 9.4 +/- 0.8 on a scale of 1-10. More than 71% of patients reported that the scar was invisible, and 95% said that they would recommend LESS surgery to others. Conclusion: Based on our results, with proper patient selection, the size of an ovarian cyst does not necessarily constitute a contraindication for LESS surgery. (C) 2014 S. Karger AG, Basel
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Collections - Medicine > Department of Medicine > 1. Journal Articles
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