Laparoendoscopic Single-Site Surgery Using a 2-mm Miniport: Initial Gynecologic Experience Performed by a Standard Trocar and Instruments

Objectives: To evaluate the feasibility, safety, and patients' satisfaction of laparoendoscopic single-site surgery (LESS) with a 2-mm miniport using a standard trocar and instruments. Methods: Between November 2008 and October 2009, we performed LESS for benign gynecologic conditions with a 2-mm miniport in 61 patients. Only 1 case was converted to conventional laparoscopic surgery using three ports to perform an appendectomy. The level of satisfaction of the patients was surveyed with five scales ("very satisfied,'' "satisfied,'' "not sure,'' "unsatisfied,'' and "very unsatisfied''). Results: The mean operative time was 46.6 +/- 20.7 minutes, and the mean blood loss was 8.9 +/- 7.4mL. The length of the hospital stay postoperatively averaged 1.8 +/- 0.9 days. No complications that required treatment occurred. Among 60 patients, 52 patients (87%) responded to the survey. Thirteen patients (25%) were "very satisfied,'' 29 patients (56%) were "satisfied,'' 8 patients (15%) were "not sure,'' and 2 patients (4%) were "unsatisfied.'' Forty-two patients (81%) had a positive perception of the surgery. Forty-nine patients (94%) responded that they were satisfied with the cosmetic outcome. Conclusion: LESS with a 2-mm miniport is a feasible and safe treatment modality for benign gynecologic diseases without incurring additional costs. Moreover, the cosmetic results were excellent.