Primary study on laparoendoscopic single-site surgery in deeply infiltrating endometriosis

Xiaohui Lyu; Xin Guo; Jia Li; Junli Ge; Yanli He; Jian Wang; Shujuan Liu; Biliang Chen; Wei Zhang

doi:10.3877/cma.j.issn.1674-6899.2018.06.007

Primary study on laparoendoscopic single-site surgery in deeply infiltrating endometriosis

Xiaohui Lyu, Xin Guo, Jia Li, Junli Ge, Yanli He, Jian Wang, Shujuan Liu, Biliang Chen, Wei Zhang

In: Chin J Laparoscopic Surgery(Electronic Edition) · 2018 · vol. 11(6) , pp. 339–343 · doi:10.3877/cma.j.issn.1674-6899.2018.06.007 · W3029422227

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Laparoscopic single-site surgery was successfully performed in six patients with deeply infiltrating endometriosis without complications, demonstrating feasibility and safety.

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This retrospective study investigated the feasibility, safety, and perioperative outcomes of laparoendoscopic single-site surgery for deeply infiltrating endometriosis (DIE), analyzing 6 consecutive patients who underwent lesion excision at Xi Jing Hospital between May 2017 and August 2018. The authors collected perioperative variables including operative time, blood loss, lesion diameter, complications, hemoglobin changes, time to bowel movement, pain scores (VAS), length of hospital stay, and follow-up. All surgeries were completed successfully without conversion to conventional laparoscopy or laparotomy and no intraoperative or postoperative complications were reported, with operative time around 106.5 minutes and hospital stay about 3.5 days. The main limitation explicitly stated is the small sample size, requiring larger studies to confirm reliability. This paper is centrally about endometriosis — it focuses on single-site laparoscopic excision outcomes for deeply infiltrating endometriosis.

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Abstract

Objective To analyze the feasibility, safety and perioperative outcome of laparoscopic single-site surgery in deeply infiltrating endometriosis. Methods Between May 2017 and Aug. 2018, 6 patients were diagnosed as deeply infiltrating endometriosis who underwent laparoscopic single-site surgery in Xi Jing Hospital. The perioperative data was analyzed as follows: age, BMI, operative time, blood loss, postoperative VAS pain score, time for bowel movement, size of lesion and hospital stay. Results All 6 cases were successfully completed. No one was converted to conventional laparoscopy or laparotomy. No complications occurred during intraoperative and postoperative time. The clinical data were as follows: age (32.3±6.3) years old, body mass index (23.8±5.6) kg/m2, operation time (106.5±47.3) minutes, intraoperative blood loss (27.6±35.4) ml, postoperative exhaust time (12.4±6.7)h and hospital stay (3.5±2.7) d. Conclusions Laparoscopic single-site surgery is a feasible, safe and effective management in the treatment of deeply infiltrating and isolated endometriosis. Further evaluation of laparoscopic single-site surgery with increased number of patients is required. Key words: Laparoendoscopic single-site surgery; Deeply infiltrating endometriosis

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Objective

To analyze the feasibility, safety and perioperative outcome of laparoscopic single-site surgery in deeply infiltrating endometriosis.

Methods

Between May 2017 and Aug. 2018, 6 patients were diagnosed as deeply infiltrating endometriosis who underwent laparoscopic single-site surgery in Xi Jing Hospital. The perioperative data was analyzed as follows: age, BMI, operative time, blood loss, postoperative VAS pain score, time for bowel movement, size of lesion and hospital stay.

Results

All 6 cases were successfully completed. No one was converted to conventional laparoscopy or laparotomy. No complications occurred during intraoperative and postoperative time. The clinical data were as follows: age (32.3±6.3) years old, body mass index (23.8±5.6) kg/m2, operation time (106.5±47.3) minutes, intraoperative blood loss (27.6±35.4) ml, postoperative exhaust time (12.4±6.7)h and hospital stay (3.5±2.7) d.

Conclusions

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