Two-port access versus four-port access laparoscopic ovarian cystectomy.
10.5468/ogs.2014.57.5.379
- Author:
Won Kyu CHOI
1
;
Jang Kew KIM
;
Jung Bo YANG
;
Young Bok KO
;
Sang Lyun NAM
;
Ki Hwan LEE
Author Information
1. Department of Obstetrics and Gynecology, Chungnam National University School of Medicine, Daejeon, Korea. oldfox@cnuh.co.kr
- Publication Type:Original Article
- Keywords:
Cystectomy;
Ovarian cysts;
Two-port access laparoscopy
- MeSH:
Analgesics;
Body Mass Index;
Body Weight;
Chungcheongnam-do;
Cystectomy*;
Female;
Humans;
Laparoscopy;
Length of Stay;
Ovarian Cysts;
Parity;
Retrospective Studies
- From:Obstetrics & Gynecology Science
2014;57(5):379-385
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVE: This study was conducted to compare the surgical outcomes between two-port access and four-port access laparoscopic ovarian cystectomy. METHODS: Four hundred and eighty nine patients who had received two-port access laparoscopic ovarian cystectomy (n=175) and four-port access laparoscopic ovarian cystectomy (n=314) in Chungnam National University Hospital from January 2009 to August 2012 were analyzed retrospectively. The data were compared between the bilaterality of the cysts and cyst diameter of less than 6 cm and 6 cm or more. RESULTS: There were no significant differences in patient's age, parity, body weight, body mass index and history of previous surgery between the two-port and four-port access laparoscopy group. Bilaterality of ovarian cysts was more in fourport access laparoscopy group (13.7% vs. 32.5%, P=0.000). There were no significant differences in operation time, hemoglobin change, hospital stay, adhesiolysis, transfusion, and insertion of hemo-vac between the two-port and four-port access laparoscopy group for size matched compare. However additional analgesics were more in four-port access laparoscopy group for unilateral ovarian cystectomy. CONCLUSION: Two-port access laparoscopic surgery was feasible and safe for unilateral and bilateral ovarian cystectomy compare with four-port access laparoscopic surgery.
