Comparative efficacy of vNOTES and LESS in the management of benign uterine lesions in obese patients
10.3969/j.issn.1006-5725.2024.22.011
- VernacularTitle:经阴道自然腔道内镜手术与经脐单孔腹腔镜手术在治疗肥胖患者子宫良性病变的效果比较
- Author:
Wenyuan LI
1
;
Min WEI
;
Jie HAN
;
Ruifeng LI
;
Zhen WANG
;
Hailan LI
;
Jing XU
;
Dongmei JIN
;
Lingyan XU
;
Rong PENG
;
Yan ZHANG
;
Xinhua SUN
Author Information
1. 青海省人民医院妇产科(青海 西宁 810000)
- Keywords:
transvaginal natural orifice transluminal endoscopic surgery;
laparoendoscopic single-site surgery;
obesity;
benign uterine lesions
- From:
The Journal of Practical Medicine
2024;40(22):3184-3189
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the outcomes of transvaginal natural orifice transluminal endoscopic surgery(vNOTES)and laparoendoscopic single-site surgery(LESS)for total uterine excision in obese patients with benign uterine lesions,and to investigate the utility of vNOTES in this patient population.Methods A total of 100 obese patients(BMI>28.0 kg/m2)diagnosed with benign uterine lesions requiring total uterine and bilateral salpingectomy between January 2022 and January 2023 were included in this study.They were randomly assigned to two groups:the LESS group(n=51)and the vNOTES group(n=49).Patient demographics,surgical duration,intraoperative blood loss,changes in hemoglobin levels,pain scores,time to first flatus postoperatively,length of hospital stay,pelvic floor function,sexual quality of life,and postoperative complications were compared between the two groups.Results The two groups did not show any statistically significant differences in terms of blood loss,pre-and postoperative hemoglobin changes,pelvic floor function,sexual quality of life,or postoperative complications(P>0.05).However,the vNOTES group exhibited shorter surgical durations,time to first flatus postoperatively,and length of hospital stay compared to the LESS group(P<0.05).Additionally,the vNOTES group demonstrated lower intraoperative pain scores than the LESS group.(P<0.05).Conclusions In obese patients with benign uterine lesions,vNOTES total uterine excision surgery demonstrated shorter surgical durations and postoperative hospital stays,lower postoperative pain scores,and better adherence to the principles of en-hanced recovery after surgery(ERAS),indicating its potential for broader application.
