Laparoendoscopic single-site surgery (LESS) for ovarian cyst enucleation: report of first 3 cases

Objective: To report the feasibility of ovarian cyst enucleation by using a laparoendoscopic single-site trocar through a transumbilical access. Design: Case reports. Setting: Teaching and research hospital. Patient(s): Three patients affected by large ovarian cysts. Intervention(s): Enucleation of three large ovarian cysts by using a laparoendoscopic single-site approach with a new multiport trocar and standard laparoscopic instruments. Main Outcome Measure(s): Conversion to a multiaccess standard laparoscopic technique. Result(s): No conversion to multiaccess standard laparoscopic technique and no intraoperative or postoperative complications were observed. Mean operative time was 79.6 minutes. All patients were discharged home on day 1. Conclusion(s): Laparoendoscopic single-site enucleation of large ovarian cysts with ovary sparing is feasible with standard laparoscopic instruments, safe and effective, with good results in terms of cosmesis and postoperative pain. More clinical data are needed to confirm these advantages compared with standard laparoscopic technique. (Fertil Steril (R) 2009;92:1168.e13-e16. (C)2009 by American Society for Reproductive Medicine.)