Laparoendoscopic single-site extraperitoneal aortic lymphadenectomy: First experience

Abstract Objectives: To report the first clinical experience with laparoendoscopic single-site (LESS) extraperitoneal aortic lymphadenectomy. Materials and Methods: A 33-year-old woman with biopsy proven locally advanced squamous cell carcinoma of the cervix was taken to the operating room for surgical staging. Preoperative imaging did not detect any aortic lymph node metastases. Informed consent for LESS extraperitoneal aortic lymphadenectomy was obtained. A 2 cm transverse incision was made on the left side midway between the iliac crest and inferior costal margin along the middle axillary line. The preperitoneal space was created and the TriportTM inserted. Using the Deflectable-Tip EndoEyeTM laparoscope and two straight instruments, the aortic lymphadenectomy was performed as defined by the disease-specific oncologic principles. Results: The procedure was completed in 125 minutes. There were no intraoperative or postoperative complications, and the blood loss was minimal (10 mL). The patient was disch...