Single-Port Laparoscopic Surgery in Extensive Peritoneal and Ovarian Endometriosis

Abstract

Objective: The aim of this study was to assess the feasibility and safety of Single-Port Access (SPA) Laparoscopic Complete Excision (LCE) in severe endometriosis of the adnexa and pelvic peritoneum. Methods: The surgical outcomes of 40 consecutive patients that underwent SPA-LCE were compared with those from the control group with conventional LCE. Results: The mean operating time was 102 min for the SPA group and 103.4 min for the conventional group, respectively (P=0.899). Both groups had the same estimated blood loss (50 mL). The mean postoperative hospital stay of the SPA group was 1.9 days and shorter than that for the conventional group (2.8 days, P=0.008). The mean postoperative pain score after 48-hours of the SPA group was lower as compared to that of the conventional group (1.9 vs. 2.8, P=0.001). There was no operative complication in either group. Conclusion: SPA-LCE was feasible as a minimal invasive surgery for the treatment of severe endometriosis of the adnexa and pelvic peritoneum.