Effects of transumbilical single-port laparoscopy versus multi-port laparoscopy for adnexal mass during pregnancy: a retrospective cohort study

Objectives: To compare the effects of transumbilical single-port laparoscopic surgery (TSPLS) and multi-port laparoscopic surgery (MPLS) for adnexal mass during pregnancy. Methods: A retrospective analysis was performed on patients with adnexal mass during pregnancy admitted to our hospital between January 2015 and June 2023. The patients were divided into a TPLS group and a MPLS group according to surgical methods. Demographic characteristics, operative outcomes, self-rating anxiety scale (SAS), self-rating depression scale (SDS) and Childbirth attitudes questionnaire (CAQ) were compared between the two groups. Results: A total of 55 patients were included (TSPLS = 25; and MPLS = 30). The demographic characteristics of the patients between the two groups were not significantly different. The operation time in the TSPLS group was shorter than that in the MPLS group, but operative blood loss, length of hospital stay, and postoperative complications were comparable between the two groups. There were no significant difference observed in the preoperative SAS, SDS or CAS scores between the two groups, however, lower postoperative SAS (TSPLS 42.48 +/- 4.57 vs. MPLS 45.90 +/- 4.89), SDS (TSPLS 38.93 +/- 3.70 vs. MPLS 42.12 +/- 4.35) or CAS (TSPLS 34.04 +/- 4.64 vs. MPLS 37.67 +/- 4.79) scores were observed in the TSPLS group (p < 0.05). Conclusions: Compared with MPLS, TSPLS has shorter surgical time, reduces pregnancy and delivery pressure for pregnant women with adnexal mass.