gynecology and obstetrics medical project, gynecology journal, obstetrics, gynecologic oncology, reproductive medicine, gynecological endoscopy, ultrasonography, gynecology articles

Ginekologia i Poloznictwo
ISSN 1896-3315 e-ISSN 1898-0759

Laparo-endoscopic single-site surgery vs. conventional multi-port laparoscopy in presumed benign ovarian cystectomy: A randomized controlled trial


Author(s): Alaa M. Atef, Alaa El Feky, Ahmed Tharwat, Mahmoud Nabil Abd-Allah* and Amr Helmy Yehia

Background: Single Port Laparoscopic Surgery (SPLS) is a novel technique quickly recognized worldwide.

Aim: This study aimed to evaluate the postoperative consequences of Laparo-endoscopic Single-Site Surgery (LESS) relative to conventional laparoscopy in the presumed benign ovarian cysts.

Methods: Seventy women diagnosed with benign ovarian pathology attending Ain Shams University Maternity Hospital between January 2020 and December 2022 were divided into two equal groups. Thirty-five patients underwent LESS surgery, while the other 35 (control group) underwent conventional multiport laparoscopic surgery. We analyzed the demographic characteristics of the patients, including age, BMI, Parity, and history of previous abdominal surgery. We analyzed operative outcomes, mainly the postoperative pain in the first 24 hours. In addition to operative time, intraoperative blood loss, and postoperative hospital stay.

Results: Our results revealed that the demographic characteristics of the patients and the postoperative VAS pain score had no statistically significant difference between the two groups in the 6-hour, 12-hour, and 24-hour (P>0.05). Consequently, the consumption of additional analgesics (ketolac, 10 mg/tablet) during the first postoperative week was non-significantly lower in the LESS group compared to the Multiport group. Only 2 cases (5.7%) in the LESS group required additional port insertion due to extensive pelvic adhesions. The operative time was (49.3 ± 15 min) and (41.8 ± 18 min) and the operative blood loss was (78 ± 20 ml) and (69 ± 18.5 ml) in the LESS group and the Multiport group, respectively, with no statistically significant difference between the two groups (P>0.05). There was no statistically significance difference between the two groups in the postoperative hospital stay.

Conclusion: The LESS technique for ovarian cystectomy is feasible, safe, and equally effective compared to the conventional technique with a short learning curve.