Evaluation of the efficacy of single-incision plus one-port laparoscopic surgery for large subtotal hysterectomy based on the concept of enhanced recovery after surgery
10.3969/j.issn.1671-8348.2025.03.020
- VernacularTitle:基于加速康复外科理念下单孔加一孔腹腔镜用于大子宫次全切除术疗效评估
- Author:
Jiankui LI
1
;
Xi CHEN
;
Juan LI
Author Information
1. 中国人民解放军联勤保障部队第九六〇医院妇科,济南 250000
- Keywords:
single-incision plus one-port laparoscopic;
single-incision laparoscopic;
subtotal hysterecto-my;
large uterus;
enhanced recovery after surgery
- From:
Chongqing Medicine
2025;54(3):673-677
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the feasibility of single-incision plus one-port laparoscopic surgery(SILS+1)for subtotal hysterectomy of large uterus based on the concept of enhanced recovery after surgery.Methods A total of 84 patients undergoing laparoscopic subtotal hysterectomy for large uterus(3.5-4.5 gestational months)in the gynecology department of the 960 Hospital,Joint Logistic Support Force,PLA from August 2022 to July 2023 were selected as the study subjects,and were divided into the SILS+1 group(group A,n=50)and the single-port laparoscopic group(group B,n=34)according to different surgical methods.The indexes of operation time,blood loss,operation success rate,exhaust time and visual analogue pain(VAS)scale were observed.Results The operative time of group A[(110.22±10.36)min]was less than that of group B[(131.53±8.51)min],the intraoperative blood loss of group A[(41.86±24.20)mL]was less than that of group B[(117.65±51.05)mL],and the hospitalization cost of group A[(21 308.78±647.90)yuan]was lower than that of group B[(21 769.50±537.84)yuan].The success rate of operation in group A(100.00%)was higher than that in group B(88.24%),the differences were statistically significant(P＜0.05).There were no significant differences in postoperative exhaust time,pain score,antibiotic use days and hospital stay between group A and group B(P＞0.05).The incidence of surgical complications in group A(4.00%)was lower than that in group B(8.82%),and the difference was not statistically significant(P＞0.05).Conclusion Single-incision plus one-port laparoscopic surgery subtotal hysterectomy for large uterus can significantly shorten the operation time,reduce the amount of blood loss,have a high success rate,and do not increase surgical complications,conforms to the concept of enhanced recovery after surgery,and is safe and feasible.
