Single Site Laparoscopic Radical Hysterectomy Using Conventional Ports and Instruments

Shailesh P Puntambekar, AkhilLawande, GeetanjaliAgarwal Joshi, Saurabh Joshi, SeemaPuntambekar, Rahul Kenawadekar, Sunil Reddy, M H Bhojaraja.

ABSTRACT

BODY:

The application of LESS (Laparoendoscopic Single Site Surgery) and NOTES (Natural Orifice Trans Endoscopic Surgeries) is now being done to gynecologic oncological procedures. We applied our expertise of LESS to perform a laparoscopic radical hysterectomy by LESS.

To study the technical feasibility of performing a radical hysterectomy by LESS.
45 years, old woman, referred as a patient of cancer of the cervix stage IA2. Biopsy report showed Invasive keratinizing Squamous cell carcinoma, Grade II. We duplicated the steps of our ‘Pune technique’ of laparoscopic radical hysterectomy to perform a radical hysterectomy with LESS using conventional ports and instruments.
Oncological clearance was comparable to the conventional laparoscopic radical hysterectomy. Time taken was 120 mins and blood loss was 50ml.

Reduced port laparoscopic radical hysterectomy is technically feasible. The oncological clearance and the functional results are comparable to the multiport variant, with good cosmetic results.

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