A novel modification of two-port laparoscopic ovarian cystectomy using a needlescopic instrument: One surgeon's initial experience

Abstract Background Laparoendoscopic single-site surgery (LESS) is challenging even for an experienced laparoscopic surgeon. With the increasing application of LESS for ovarian cystectomy, there is an urgent need to improve and modify the surgical techniques. Method We propose a modification of LESS with needlescopic surgery (LESS plus one puncture) as a way of improving the esthetic result and postoperative quality of life of the patient while causing less stress for the surgeon. Result We retrospectively reviewed the medical records of the first 30 consecutive patients who underwent two-port surgery for teratomaresection. Conclusion LESS plus one puncturefor ovarian cystectomyappears as safe and feasible as conventional laparoscopic surgeryand can allow for an almost “scarless” cosmetic result.