Single-Site Laparoscopic Radical Hysterectomy Using Conventional Ports and Instruments

Abstract Study Objective To study the technical feasibility of performing a radical hysterectomy via laparoscopic single-site surgery LESS. Patient A 45-year-old woman with cervical cancer stage IA2. Intervention 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 via laparoscopic single-site surgery using conventional ports and instruments. Measurements and Main Results Oncologic clearance was comparable to that of conventional laparoscopic radical hysterectomy. Operative time was 120 minutes, and blood loss was 50 mL. Conclusion Reduced port laparoscopic radical hysterectomy is technically feasible. Oncologic clearance and functional results are comparable to those of the multiport variant, with good cosmetic results.