Laparoendoscopic Single-Site Combined Hysterectomy and Nephrectomy in Deep Infiltrating Endometriosis


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.

Share and Cite:

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.

Conflicts of Interest

The authors declare no conflicts of interest.


[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.
[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.
[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.
[4] Hart, S., Ross, S. and Rosemurgy, A. (2010) Laparoendoscopic Single-Site Combined Cholecystectomy and Hysterectomy. Journal of Minimally Invasive Gynecology, 17, 798-801.
[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.
[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.
[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.

Copyright © 2022 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.