On Safety of Two-port Laparoscopic Myomectomy in Obese Patients
10.3969/j.issn.1009-6604.2025.05.006
- VernacularTitle:肥胖患者两孔腹腔镜子宫肌瘤剔除术的安全性
- Author:
Yanhong ZHAO
1
;
Jianhong GAO
1
;
Donglei XU
1
Author Information
1. 河北省廊坊市人民医院妇科,廊坊 065000
- Publication Type:Journal Article
- Keywords:
Obesity;
Transumbilical laparoendoscopic single site surgery;
Two-port laparoscopic surgery;
Myoma of uterus
- From:
Chinese Journal of Minimally Invasive Surgery
2025;25(5):289-293
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the safety of two-port laparoscopic myomectomy through transumbilical laparoendoscopic single site surgery(TU-LESS)plus one auxiliary port in obese patients.Methods Clinical data of 139 cases who underwent two-port laparoscopic myomectomy from July 2020 to July 2023 were analyzed retrospectively,including 24 cases with body mass index(BMI)≥28 and 115 cases with BMI＜28.The patients underwent surgery through a transumbilical single-site port along with an additional left lower abdominal port equipped with a 5 mm trocar,utilizing the conventional multiport laparoscope and surgical instruments.The perioperative indexes were observed and compared between the two groups.Results A second auxiliary port was added due to operational challenge encountered in 1 case(BMI=31.6),and the other 138 procedures were successfully completed without conversion to other surgery.No severe intraoperative or postoperative complications occurred.There were no significant differences between the two groups in the perioperative indexes including operation time,intraoperative blood loss,hemoglobin difference before and after surgery,time to first postoperative exhaust,Visual Analogue Scale(VAS)of pain at 24 h after surgery,postoperative fever,postoperative hospital stay,and hospitalization costs(P＞0.05).Conclusion Two-port laparoscopic myomectomy through TU-LESS plus one auxiliary port for obese patients is safe and feasible.
