+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Laparoendoscopic single-site surgery (LESS) radical hysterectomy for the treatment of early stage cervical cancer



Laparoendoscopic single-site surgery (LESS) radical hysterectomy for the treatment of early stage cervical cancer



Gynecologic Oncology 129(1): 241-243



Laparoendoscopic single-site surgery (LESS) represents one of the latest innovations in minimally invasive surgery and has several potential applications in gynecologic oncology surgery. The purpose of this surgical video is to demonstrate the indication and technique for LESS radical hysterectomy for the treatment of early stage cervical cancer. A 48 year-old menopausal woman with a body mass index of 29 was diagnosed with a well differentiated, Stage IB1 cervical adenocarcinoma. She underwent a LESS radical hysterectomy, bilateral salpingo-oophorectomy and pelvic lymphadenectomy through a 2.0 centimeter (cm) umbilical incision. Estimated blood loss was 200 ml and total operative time was 251 min. No perioperative complications occurred and the patient was discharged the day after surgery. Final pathology revealed a residual 1.5 cm tumor with a depth of invasion of 5.8mm and no lymph vascular space invasion. The parametria, ovaries and 16 lymph nodes were negative for malignancy. All margins, including a vaginal margin 3.5 cm from the cervical tumor, were negative. Her umbilical incision healed well and was not visible at her 4 week post operative visit. She did not require adjuvant therapy and is without evidence of disease 6 months after surgery. The performance of LESS radical hysterectomy is feasible and safe in select women with apparent early-stage cervical cancer. In an effort to optimize operative and long-term oncologic outcomes, it is critical to continue exploring novel surgical approaches for the treatment of gynecologic cancers.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 036821191

Download citation: RISBibTeXText

PMID: 23262206

DOI: 10.1016/j.ygyno.2012.12.025


Related references

Minilaparoscopic radical hysterectomy (mLPS-RH) vs laparoendoscopic single-site radical hysterectomy (LESS-RH) in early stage cervical cancer: a multicenter retrospective study. Journal of Minimally Invasive Gynecology 21(6): 1005-1009, 2015

Laparoendoscopic single-site radical hysterectomy for early stage cervical cancer. Obstetrics and Gynecology Science 60(1): 110-114, 2017

Laparoendoscopic single-site radical hysterectomy: the first report of LESS type III hysterectomy involves a woman with cervical cancer. American Journal of Obstetrics and Gynecology 207(6): 518.E1, 2012

Laparoendoscopic single-site radical hysterectomy with pelvic lymphadenectomy: initial multi-institutional experience for treatment of invasive cervical cancer. Journal of Minimally Invasive Gynecology 21(3): 394-398, 2015

Robotic laparoendoscopic single site radical hysterectomy with sentinel lymph node mapping and pelvic lymphadenectomy for cervical cancer. Gynecologic Oncology 139(2): 387, 2015

From open radical hysterectomy to robot-assisted laparoscopic radical hysterectomy for early stage cervical cancer: aspects of a single institution learning curve. Gynecological Surgery 7(3): 253-258, 2010

Treatment of Early Stage Endometrial Cancer by Transumbilical Laparoendoscopic Single-Site Surgery Versus Traditional Laparoscopic Surgery: A Comparison Study. Medicine 95(14): E3211, 2016

Laparoendoscopic Single-Site Radical Parametrectomy for Treatment of Cervix Cancer Diagnosed After Simple Hysterectomy. Journal of Minimally Invasive Gynecology 22(6s): S121, 2016

Treatment of stage IB2, IIA bulky cervical cancer: a single-institution experience of neoadjuvant chemotherapy followed by radical hysterectomy and primary radical hysterectomy. Archives of Gynecology and Obstetrics 284(2): 477-482, 2011

Robotic single-site hysterectomy (RSS-H) vs. laparoendoscopic single-site hysterectomy (LESS-H) in early endometrial cancer: a double-institution case-control study. Gynecologic Oncology 130(1): 219-223, 2013

Vaginal radical hysterectomy versus abdominal radical hysterectomy in the treatment of early-stage cervical cancer. Gynecologic Oncology 62(3): 336-339, 1996

Total laparoendoscopic single-site surgery (LESS) hysterectomy in low-risk early endometrial cancer: a pilot study. Surgical Endoscopy 26(1): 41-46, 2012

Less radical surgery than radical hysterectomy in early stage cervical cancer: a pilot study. Gynecologic Oncology 113(2): 181-184, 2009

Less radical surgery than radical hysterectomy in early stage cervical cancer A pilot study. Gynecologic Oncology 117(1): 148-0, 2010

Laparoscopic radical hysterectomy and pelvic lymphadenectomy can be routinely used for treatment of early-stage cervical cancer: a single-institute experience with 404 patients. Journal of Minimally Invasive Gynecology 22(2): 199-204, 2015