Application of micro⁃channel single⁃port laparoscopic technique in total hysterectomy for uterine fibroids
10.19405/j.cnki.issn1000-1492.2023.08.025
- Author:
Fangfang Wu
1
;
Ying Zhu
2
;
Minmin Zhang
2
;
Miaomiao Huang
2
Author Information
1. Dept of Obstetrics and Gynecology, The First Afiliated Hospital of Anhui Medical University,Hefei 230022 ; Dept of Obstetrics and Gynecology, Fuyang Hospital of Anhui Medical University, Fuyang 236000
2. Dept of Obstetrics and Gynecology, The First Afiliated Hospital of Anhui Medical University,Hefei 230022
- Publication Type:Journal Article
- Keywords:
microchannel transumbilical single⁃port laparoscopy;
uterine fibroids;
total hysterectomy
- From:
Acta Universitatis Medicinalis Anhui
2023;58(8):1398-1402
- CountryChina
- Language:Chinese
-
Abstract:
Objective :o investigate the feasibility and safety of transumbilical single⁃port laparoscopic total hysterectomy with a self⁃made single⁃port laparoscopic platform for uterine fibroids.
Methods :114 patients with uterine fibroids who needed total hysterectomy were divided into 3 groups : Microchannel transumbilical single⁃port laparoscopy group ( group Micro⁃channel , n = 38) , standard access transumbilical single⁃port laparoscopy group ( group Single⁃port , n = 25) and traditional laparoscopy group ( group Traditional , n = 51) , in which self⁃made single⁃port laparoscopic access platform was used in group Micro⁃channel and group Single⁃port. The operation time , intraoperative blood loss , preoperative and postoperative hemoglobin value changes , postoperative VAS pain score , incision cosmetic score , postoperative complications , postoperative gastrointestinal recovery time , treatment costs and hospital stay were compared among the three groups.
Results :Compared with the other two groups , Microchannel transumbilical single⁃port laparoscopy group had less intraoperative blood loss , shorter hospital stay , faster postoperative recovery , lower postoperative VAS score and higher postoperative cosmetic score , and the differences were statistically significant ( P < 0. 05 ) . Transumbilical single⁃port laparoscopic surgery had shorter discharge time , lower pain scores , and better cosmetic scores than traditional laparoscopic surgery , and the differences were statistically significant (P < 0. 05) . There was no significant difference in the incidence of postoperative complications , the rate of postoperative analgesic use and the change of postoperative hemoglobin among the three groups ( P > 0. 05 ) .
Conclusion :Microchannel transumbilical single⁃port laparoscopic surgery is safe and effective in the treatment of uterine fibroids , and can improve the therapeutic effect of patients. The self⁃made single⁃port laparoscopic platform is safe and effective , and can reduce the cost of treatment for patients.
- Full text:2024081910234372587微通道单孔腹腔镜技术在子宫肌瘤全子宫切除术中的应用_武方方.pdf
