Application of laparoendoscopic single-site surgery in gynecological surgery.

REN Chang; SUN Da-wei

doi:10.19538/j.fk2025070102

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Chinese Journal of Practical Gynecology and Obstetrics ›› 2025, Vol. 41 ›› Issue (7) : 679-683. DOI: 10.19538/j.fk2025070102

Application of laparoendoscopic single-site surgery in gynecological surgery.

REN Chang ,
SUN Da-wei

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Abstract

Laparoendoscopic single-site surgery （LESS），which achieves minimally invasive effect through a single access port ，demonstrates significant advantages in gynecology，including better cosmesis，rapid recovery，and potential fertility preservation. Studies confirm that LESS exhibits comparable safety to conventional laparoscopy in ovarian cystectomy，myomectomy，and cervical cancer surgery，with shorter hospital stay. Its indications include adnexal surgery，hysterectomy，early-stage malignancies，and pelvic floor reconstruction.Pre-bent instruments and robot-assisted techniques （R-LESS）further address the "chopstick effect" and the limited maneuverability. Future advancements in instrument innovation，guideline standardization，and remote surgical technology will expand LESS applications in complex gynecological diseases.

Key words

laparoendoscopic single-site surgery / gynecological surgery / robot-assisted / vaginal natural orifice transluminal endoscopic surgery / minimally invasive techniques

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REN Chang , SUN Da-wei. Application of laparoendoscopic single-site surgery in gynecological surgery.[J]. Chinese Journal of Practical Gynecology and Obstetrics. 2025, 41(7): 679-683 https://doi.org/10.19538/j.fk2025070102

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