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

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