Laparoscopic single-site surgery (LESS) in oncological gynecology: Experience at the Instituto Nacional de Cancerología, Bogotá, D.C., Colombia
DOI:
https://doi.org/10.35509/01239015.838Keywords:
laparoscopic surgery, gynecologic neoplasmsAbstract
Objective: Laparoscopic single-site surgery is a minimally invasive technique feasible for the management of gynecologic cancer. This article aims to describe a series of patients who underwent minimally invasive single-site surgery by the Department of gynecologic oncology at the Instituto Nacional de Cancerología (INC) in Bogotá, Colombia, from January 2016 to December 2018.
Methods: Descriptive, retrospective case series of women over 18 years old who received surgical treatment of cervical preinvasive lesions, gynecologic cancer, and risk-reducing surgery at the INC using the single-site technique between January 2016 and December 2018. Clinical and surgical outcomes were included. A univariate analysis was performed in the statistical software R Project version 3.6.2.
Results: A total of 73 cases were included for final analysis. Median age was 45 years (SD±9.69; range: 27-74). Surgical time was 57 minutes (SD±69.96; range: 25-380). The estimated mean blood loss was 20cc (SD±19.62; range: 5-100). One patient (1.37%) required conversion to laparotomy, and 56 patients (76.71%) were discharged the same day of the procedure.
Conclusion: In this study, laparoscopic single-site surgery proved to be a feasible and safe surgical technique for patients with gynecological oncological pathology.
Author Biographies
Jesús Acosta, Unidad Funcional Ginecología, Instituto Nacional de Cancerología, Bogotá, D.C., Colombia.
1. Unidad Funcional Ginecología, Instituto Nacional de Cancerología, Bogotá, D.C., Colombia.
Abel Merchán, Departamento de Ginecología Oncológica, Centro de Investigaciones Oncológicas Clínica San Diego, Bogotá, D.C., Colombia.
2. Departamento de Ginecología Oncológica, Centro de Investigaciones Oncológicas Clínica San Diego, Bogotá, D.C., Colombia.
Adriana Alméciga, Unidad Funcional Ginecología, Instituto Nacional de Cancerología, Bogotá, D.C., Colombia.
1. Unidad Funcional Ginecología, Instituto Nacional de Cancerología, Bogotá, D.C., Colombia.
Santiago Vieira, Unidad Funcional Ginecología, Instituto Nacional de Cancerología, Bogotá, D.C., Colombia.
1. Unidad Funcional Ginecología, Instituto Nacional de Cancerología, Bogotá, D.C., Colombia.
3. Posgrado de Ginecología Oncológica, Universidad Militar Nueva Granada, Bogotá, D.C., Colombia.
Diana Santana, Unidad Funcional Ginecología, Instituto Nacional de Cancerología, Bogotá, D.C., Colombia.
1. Unidad Funcional Ginecología, Instituto Nacional de Cancerología, Bogotá, D.C., Colombia.
Oscar Suescún, Unidad Funcional Ginecología, Instituto Nacional de Cancerología, Bogotá, D.C., Colombia.
1. Unidad Funcional Ginecología, Instituto Nacional de Cancerología, Bogotá, D.C., Colombia.
Pedro Calderón, Unidad Funcional Ginecología, Instituto Nacional de Cancerología, Bogotá, D.C., Colombia.
1. Unidad Funcional Ginecología, Instituto Nacional de Cancerología, Bogotá, D.C., Colombia.
Lina Trujillo, Unidad Funcional Ginecología, Instituto Nacional de Cancerología, Bogotá, D.C., Colombia.
1. Unidad Funcional Ginecología, Instituto Nacional de Cancerología, Bogotá, D.C., Colombia.
Javier Burbano, Servicio de Ginecología Oncológica, Centro Médico Imbanaco, Cali, Colombia.
4. Servicio de Ginecología Oncológica, Centro Médico Imbanaco, Cali, Colombia.
Juliana Rodríguez, Unidad Funcional Ginecología, Instituto Nacional de Cancerología, Bogotá, D.C., Colombia.
1. Unidad Funcional Ginecología, Instituto Nacional de Cancerología, Bogotá, D.C., Colombia.
5. Departamento de Ginecología, Obstetricia y Reproducción Humana, Sección de Ginecología Oncológica, Hospital Universitario Fundación Santa Fe de Bogotá, Bogotá, D.C., Colombia.
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