Laparoendoscopic Single-Site Combined Hysterectomy and Nephrectomy in Deep Infiltrating Endometriosis
Affiliation(s)
1 Department of Obstetrics and Gynecology, Izmir University Hospital, Izmir, Turkey. 2 Department of Urology, Izmir University Hospital, Izmir, Turkey. 3 Private Gynecology Clinic, Izmir, Turkey.
1 Department of Obstetrics and Gynecology, Izmir University Hospital, Izmir, Turkey. 2 Department of Urology, Izmir University Hospital, Izmir, Turkey. 3 Private Gynecology Clinic, Izmir, Turkey.
ABSTRACT
Within the advance ports and instruments, laparoendoscopic single-site (LESS) surgery has been increasingly used among gynaecologic surgeons. In addition, advanced port systems have enabled to perform concomitant surgical procedures via transumbilical incision. However, combined surgical operations are rarely reported in the literature, particularly in gynaecology. This case report presents a 42-year-old woman who undergo concomitant LESS hysterectomy and nephrectomy due to deep infiltrating endometriosis (DIE) and end stage renal disease. The operation is performed in approximately 3 hours without any complications, and the patient is discharged on postoperative third day. This case demonstrates that complex concomitant operations even in a patient with DIE can be performed using a LESS surgical approach.
Within the advance ports and instruments, laparoendoscopic single-site (LESS) surgery has been increasingly used among gynaecologic surgeons. In addition, advanced port systems have enabled to perform concomitant surgical procedures via transumbilical incision. However, combined surgical operations are rarely reported in the literature, particularly in gynaecology. This case report presents a 42-year-old woman who undergo concomitant LESS hysterectomy and nephrectomy due to deep infiltrating endometriosis (DIE) and end stage renal disease. The operation is performed in approximately 3 hours without any complications, and the patient is discharged on postoperative third day. This case demonstrates that complex concomitant operations even in a patient with DIE can be performed using a LESS surgical approach.
Cite this paper
Biçer, M. , Arslan, M. , Ulug, V. , Güner, Z. , Akarsu, S. and Gol, M. (2015) Laparoendoscopic Single-Site Combined Hysterectomy and Nephrectomy in Deep Infiltrating Endometriosis. International Journal of Clinical Medicine, 6, 940-943. doi: 10.4236/ijcm.2015.612123.
Biçer, M. , Arslan, M. , Ulug, V. , Güner, Z. , Akarsu, S. and Gol, M. (2015) Laparoendoscopic Single-Site Combined Hysterectomy and Nephrectomy in Deep Infiltrating Endometriosis. International Journal of Clinical Medicine, 6, 940-943. doi: 10.4236/ijcm.2015.612123.
References
[1] Wenger, J.M., Dubuisson, J.B. and Dällenbach, P. (2012) Laparoendoscopic Single-Site Supracervical Hysterectomy with Endocervical Resection. Journal of Minimally Invasive Gynecology, 19, 217-219.
http://dx.doi.org/10.1016/j.jmig.2011.10.009 [2] Behnia-Willison, F., Foroughinia, L., Sina, M. and McChesney, P. (2012) Single Incision Laparoscopic Surgery (SILS) in Gynaecology: Feasibility and Operative Outcomes. Australian & New Zealand Journal of Obstetrics & Gynaecology, 52, 366-370.
http://dx.doi.org/10.1111/j.1479-828X.2012.01443.x [3] Gol, M., Kizilyar, A. and Eminoglu, M. (2007) Laparoscopic Hysterectomy with Retroperitoneal Uterine Artery Sealing Using ligasure: Gazi Hospital Experience. Archives of Gynecology and Obstetrics, 276, 311-314.
http://dx.doi.org/10.1007/s00404-007-0353-1 [4] Hart, S., Ross, S. and Rosemurgy, A. (2010) Laparoendoscopic Single-Site Combined Cholecystectomy and Hysterectomy. Journal of Minimally Invasive Gynecology, 17, 798-801.
http://dx.doi.org/10.1016/j.jmig.2010.07.006 [5] Palanivelu, C., Ahluwalia, J.S., Palanivelu, P., Palanisamy, S. and Vij, A. (2013) Combined Surgical Procedures Using Laparoendoscopic Single-Site Surgery Approach. Asian Journal of Endoscopic Surgery, 6, 165-169.
http://dx.doi.org/10.1111/ases.12023 [6] Miranda-Mendoza, I., Kovoor, E., Nassif, J., Ferreira, H. and, Wattiez, A. (2012) Laparoscopic Surgery for Severe Ureteric Endometriosis. European Journal of Obstetrics & Gynecology and Reproductive Biology, 165, 275-279.
http://dx.doi.org/10.1016/j.ejogrb.2012.07.002 [7] Kijvikai, K., Srisombut, C. and Tingthanatikul, Y. (2007) Laparoscopic Nephrectomy, Hysterectomy and Rectovaginal Endometriotic Mass Removal in a Single Session. Journal of the Medical Association of Thailand, 90, 1934-1936.
[1] Wenger, J.M., Dubuisson, J.B. and Dällenbach, P. (2012) Laparoendoscopic Single-Site Supracervical Hysterectomy with Endocervical Resection. Journal of Minimally Invasive Gynecology, 19, 217-219.
http://dx.doi.org/10.1016/j.jmig.2011.10.009 [2] Behnia-Willison, F., Foroughinia, L., Sina, M. and McChesney, P. (2012) Single Incision Laparoscopic Surgery (SILS) in Gynaecology: Feasibility and Operative Outcomes. Australian & New Zealand Journal of Obstetrics & Gynaecology, 52, 366-370.
http://dx.doi.org/10.1111/j.1479-828X.2012.01443.x [3] Gol, M., Kizilyar, A. and Eminoglu, M. (2007) Laparoscopic Hysterectomy with Retroperitoneal Uterine Artery Sealing Using ligasure: Gazi Hospital Experience. Archives of Gynecology and Obstetrics, 276, 311-314.
http://dx.doi.org/10.1007/s00404-007-0353-1 [4] Hart, S., Ross, S. and Rosemurgy, A. (2010) Laparoendoscopic Single-Site Combined Cholecystectomy and Hysterectomy. Journal of Minimally Invasive Gynecology, 17, 798-801.
http://dx.doi.org/10.1016/j.jmig.2010.07.006 [5] Palanivelu, C., Ahluwalia, J.S., Palanivelu, P., Palanisamy, S. and Vij, A. (2013) Combined Surgical Procedures Using Laparoendoscopic Single-Site Surgery Approach. Asian Journal of Endoscopic Surgery, 6, 165-169.
http://dx.doi.org/10.1111/ases.12023 [6] Miranda-Mendoza, I., Kovoor, E., Nassif, J., Ferreira, H. and, Wattiez, A. (2012) Laparoscopic Surgery for Severe Ureteric Endometriosis. European Journal of Obstetrics & Gynecology and Reproductive Biology, 165, 275-279.
http://dx.doi.org/10.1016/j.ejogrb.2012.07.002 [7] Kijvikai, K., Srisombut, C. and Tingthanatikul, Y. (2007) Laparoscopic Nephrectomy, Hysterectomy and Rectovaginal Endometriotic Mass Removal in a Single Session. Journal of the Medical Association of Thailand, 90, 1934-1936.