Laparoendoscopic single-site surgery in gynecologic oncology: An update
Autor: | David M. Boruta |
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Rok vydání: | 2016 |
Předmět: |
medicine.medical_specialty
Genital Neoplasms Female medicine.medical_treatment Gynecologic oncology Laparoscopic surgical procedures 03 medical and health sciences Gynecologic Surgical Procedures 0302 clinical medicine Laparotomy medicine Humans Hernia Single incision laparoscopy Laparoscopy 030219 obstetrics & reproductive medicine Surgical approach medicine.diagnostic_test business.industry General surgery Obstetrics and Gynecology medicine.disease Surgery Oncology 030220 oncology & carcinogenesis Single site surgery Female business |
Zdroj: | Gynecologic Oncology. 141:616-623 |
ISSN: | 0090-8258 |
DOI: | 10.1016/j.ygyno.2016.03.014 |
Popis: | The preferred surgical approach for many gynecologic oncology procedures is now laparoscopy. Reduced morbidity, shorter hospitalization and a more rapid recovery have been associated with minimally invasive surgical approaches when compared to laparotomy. Incisional morbidity, including vascular and viscous injury, postoperative hernia, infection, and pain remain significant concerns. Use of fewer and smaller incisions during laparoscopy may be expected to further minimize these risks. Laparoendoscopic single-site surgery (LESS), or single incision laparoscopy, describes the use of one small skin incision to complete laparoscopic surgical procedures. Recent advances in instrumentation have allowed increasingly complex procedures in gynecologic cancer patients to be completed. This review will serve as an update in regards to implementation of LESS in gynecologic oncology. Technical challenges encountered during performance of LESS as well as strategies to overcome these challenges will be discussed. |
Databáze: | OpenAIRE |
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