Laparoendoscopic Single-site Cystectomy Research Articles

Laparoendoscopic single-site cystectomy in pregnancy for a benign mullerian serous cystadenofibroma: a case report with review of literature

Background The incidence of adnexal masses in pregnancy is estimated to be Surgical intervention is required particularly in the setting of potential malignancy ovarian torsion or direct mass affect on the pregnancy Single incision laparoscopic surgery SILS averts the potential morbidity of multiple trocar insertions as it is associated with less bleeding pain and better cosmetics and tissue retrieval We describe the use of SILS technique in a week pregnancy complicated by a cm left adnexal cystic mass that was managed with a single incision laparoscopic left salpingectomy with cystectomy Case The patient was a year old pregnant Gravida Para with gestational diabetes and morbid obesity Body Mass Index of Her only pregnancy ended as a spontaneous abortion She initially presented to our clinic at weeks for further evaluation of a large x x cm maternal abdominal cystic mass which had been detected on prenatal ultrasound She was managed by Single Incision diagnostic laparoscopy and Single incision laparoscopic left salpingectomy and left paratubal cystectomy at weeks Pathologic examination of the paratubal cyst revealed the mass to be a benign mullerian serous cystadenofibroma Her recovery was uncomplicated with discharge on the first postoperative day Conclusion In summary removal of this patient s adnexal mass in pregnancy was warranted to avert potential complications The patient s paratubal cyst was drained without leakage and then removed intact through the umbilical incision Single incision laparoscopic cystectomy for large ovarian and paratubal cysts in pregnancy is not only feasible but has also been shown to result in better outcomes There were no complications in this patient intraoperatively postoperatively or in a subsequent pregnancy

Isobaric Laparoendoscopic Single-Site Assisted Extracorporeal Cystectomy in Treatment of Selected Adnexal Tumors: Initial Experience and Technique

Laparoscopic-assisted ovarian cystectomy with exteriorization is a minimally invasive procedure. However, applicability of this procedure for transumbilical laparoendoscopic single-site (LESS) surgery is not well established. Herein, we describe our initial experience with isobaric (gasless) LESS-assisted extracorporeal cystectomy in management of selected adnexal tumors. Of 17 consecutive adnexal tumors, 15 (88.2%) (dermoid cyst, 10; serous cystadenoma, 2; mucinous cystadenoma, 1; and paraovarian cyst, 2) were successfully managed with isobaric LESS-assisted extracorporeal cystectomy. Two dermoid cysts required intracorporeal LESS cystectomy because of poor mobility of the adnexal tissue. No conversion to either conventional laparoscopic surgery or laparotomy was necessary in this series.