Transumbilical single-port access versus conventional total laparoscopic hysterectomy: surgical outcomes

被引：140

作者：

Yim, Ga Won ^{[1
]}

Jung, Yong Wook ^{[1
]}

Paek, Jiheum ^{[1
]}

Lee, San Hui ^{[1
]}

Kwon, Ha Yan ^{[1
]}

Nam, Eun Ji ^{[1
]}

Kim, Sunghoon ^{[1
]}

Kim, Jae Hoon ^{[1
]}

Kim, Young Tae ^{[1
]}

Kim, Sang Wun ^{[1
]}

机构：

[1] Yonsei Univ, Womens Canc Clin, Severance Hosp, Div Gynecol Oncol,Dept Obstet & Gynecol,Coll Med, Seoul 120752, South Korea

来源：

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY | 2010年 / 203卷 / 01期

关键词：

hysterectomy; laparoscopy; pain; single-port access; CHOLECYSTECTOMY; TRIAL; SURGERY; PAIN;

D O I：

10.1016/j.ajog.2010.02.026

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

OBJECTIVE: The objective of the study was to compare surgical outcomes and postoperative pain between transumbilical single-port access total laparoscopic hysterectomy (SPA-TLH) and conventional 4-port total laparoscopic hysterectomy (TLH). STUDY DESIGN: We retrospectively reviewed 157 patients who underwent SPA-TLH (n = 52) or conventional TLH (n = 105). A single-port access system consisted of a wound retractor, surgical glove, 2 5 mm trocars, and 1 10/11 mm trocar. RESULTS: The SPA-TLH group had less intraoperative blood loss (P < .001), shorter hospital stay (P < .001), and earlier diet intake (P < .001) compared with the conventional TLH group. There was no difference in perioperative complications. Immediate postoperative pain score was lower in the SPA-TLH group (P < .001). Postoperative pain after 6 and 24 hours was lower in SPA-TLH with marginal statistical significance. CONCLUSION: SPA-TLH is a feasible method for hysterectomy with lower immediate postoperative pain and better surgical outcomes with respect to recovery time compared with conventional TLH.

引用

页码：26.e1 / 26.e6

页数：6

共 17 条

[1] Single-port laparoscopic appendectomy conducted intracorporeally with the aid of a transabdominal sling suture [J].