Eur J Pediatr Surg 2010; 20(6): 425-426
DOI: 10.1055/s-0030-1251986
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Single Incision Laparoscopic Surgery (SILS) for Ovarian Masses (Including Teratoma) in Adolescent Girls

H. Till1 , R. Wachowiak1 , U. Waldschmidt1 , R. Metzger1 , W. Hirsch2 , H. Christiansen3
  • 1University of Leipzig, Department of Pediatric Surgery, Leipzig, Germany
  • 2University of Leipzig, Department of Pediatric Radiology, Leipzig, Germany
  • 3University of Leipzig, Pediatric Oncology,Leipzig, Germany
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05. Mai 2010 (online)


Standard laparoscopy represents the access of choice for most ovarian pathologies. It allows for definite diagnosis and specific treatment of the underlying pathology [1] [2]. According to the current oncological protocol, even malignant tumors such as teratomas or germ cell tumors may be resected laparoscopically [1]. However, this concept is currently being challenged by the emerging technique of single incision laparoscopic surgery (SILS). Instead of placing different ports according to ergonomic necessity, it aims to achieve an almost scarless operation by working through one umbilical incision only [3]. The question remains whether SILS is feasible and safe in pediatric gynecology and oncology.


  • 1 Broach AN, Mansuria SM, Sanfilippo JS. Pediatric and adolescent gynaecologic laparoscopy.  Clin Obstet Gynecol. 2009;  52 380-389
  • 2 Brandt ML, Helmrath MA. Ovarian cysts in infants and children.  Semin Pediatr Surg. 2005;  14 78-85
  • 3 Box G, Averch T, Cadeddu J Urologic NOTES Working Group. Nomenclature of natural orifice translumenal endoscopic surgery (NOTES) and laparoendoscopic single-site surgery.  J Endourol. 2008;  22 2575-2581
  • 4 Bucher P, Pugin F, Morel P. Scarless surgery: reality through umbilical laparoendoscopic single site surgery (LESS)?.  Rev Med Suisse. 2009;  5 1412-1415
  • 5 Hernandez JM, Morton CA, Ross S. et al . Laparoendoscopic single site cholecystectomy: the first 100 patients.  Am Surg. 2009;  75 681-685
  • 6 Vidal O, Valentini M, Espert JJ. et al . Laparoendoscopic single-site cholecystectomy: a safe and reproducible alternative.  J Laparoendosc Adv Surg Tech A. 2009;  19 599-602
  • 7 Kaouk JH, Haber GP, Goel RK. et al . Single-port laparoscopic surgery in urology: initial experience.  Urology. 2008;  71 3-6
  • 8 Tracy CR, Raman JD, Cadeddu JA. et al . Laparoendoscopic single-site surgery in urology: where have we been and where are we heading?.  Nat Clin Pract Urol. 2008;  5 561-568
  • 9 Canes D, Desai M, Aron M. et al . Transumbilical single-port surgery: evolution and current status.  Eur Urol. 2008;  54 1020-1029
  • 10 Fader AN, Escobar PF. Laparoendoscopic single-site surgery (LESS) in gynecologic oncology: technique and initial report.  Gynecol Oncol. 2009;  114 157-161
  • 11 Dutta S. Early experience with single incision laparoscopic surgery: eliminating the scar from abdominal operations.  J Pediatr Surg. 2009;  44 1741-1745
  • 12 Ponsky TA, Diluciano J, Chwals W. et al . Early experience with single-port laparoscopic surgery in children.  J Laparoendosc Adv Surg Tech A. 2009;  19 551-553
  • 13 Kommu SS, Rané A. Devices for laparoendoscopic single-site surgery in urology.  Expert Rev Med Devices. 2009;  6 95-103
  • 14 Stolzenburg JU, Kallidonis P, Till H. et al . Current status of laparoendoscopic single-site surgery in urology.  World J Urol. 2009;  27 767-773


Prof. Holger H. Till

University of Leipzig

Department of Pediatric Surgery

Oststraße 21–25

04317 Leipzig


Telefon: +49 0341 972 6421

Fax: +49 0341 972 6409