Clinical retrospective control study of single-port laparoendoscopic and multi-port laparoscopic ovarian cystectomy
10.3760/cma.j.issn.0529-567x.2017.10.006
- VernacularTitle:单孔腹腔镜与多孔腹腔镜卵巢囊肿剔除术的临床对照研究
- Author:
Xiu LIU
1
;
Mengke WEN
;
Haiyuan LIU
;
Dawei SUN
;
Jinghe LANG
;
Qingbo FAN
;
Honghui SHI
Author Information
1. 100730,中国医学科学院北京协和医院妇产科
- Keywords:
Ovarian cysts;
Laparoscopy;
Questionnaires;
Controlled clinical trial;
Laparoendoscopic single site surgery
- From:
Chinese Journal of Obstetrics and Gynecology
2017;52(10):675-678
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate clinical outcomes of laparoendoscopic single-site ovarian cystectomy compared with traditional multi-port laparoscopic ovarian cystectomy. Methods Data of 81 patients with ovarian cystectomy from January 2016 to May 2017, the single-site group (n=40) and the multi-port group (n=41) in Peking Union Medical College Hospital were retrospectively collected. The outcomes of single-site and multi-port groups were analyzed and compared, including: postoperative fever, operation time, blood loss, hemoglobin change, surgical complications, postoperative pain score, postoperative analgesic requirements, body image scale and cosmetic score, length of hospital stay, postoperative total cost. Results No complication was found in two groups. No difference was found in postoperative fever, blood loss, hemoglobin change, postoperative pain score, length of hospital stay, and total cost between the two groups(all P>0.05).Operation time was(50±20)minutes in single-site group,and (40 ± 15) minutes in multi-port group; postoperative analgesic requirements was 28%(11/40) in single-site group,and 7%(4/41)in multi-port group;cosmetic score was 22.6±2.6 in single-site group,and 17.3±2.6 in multi-port group;body image scale was 5.7±1.2 in single-site group,and 6.2±1.2 in multi-port group;these four clinical parameters were statistical differences(all P<0.05).Conculsion Laparoendoscopic single-site ovarian cystectomy is feasible and safe,although it could′t relieve the postoperative pian,it do offer a higher cosmetic satisfaction.
