Multi-institution, Prospective, Randomized Trial to Compare the Success Rates of Single-port Versus Multiport Laparoscopic Hysterectomy for the Treatment of Uterine Myoma or Adenomyosis

Tae‐Joong Kim, Tae-Joong Kim, Kim TJ, So-Jin Shin, So‐Jin Shin, Shin SJ, Tae Hyun Kim, Tae-Hyun Kim, Kim TH, Cho CH, Chi‐Heum Cho, Chi-Heum Cho, Kwon SH, Sang-Hoon Kwon, Sang‐Hoon Kwon, Seok Ju Seong, Seong SJ, SeokJu Sung, Taejong Song, Song T, Hur S, Soo Young Hur, Sooyoung Hur, Yong‐Man Kim, Yong-Man Kim, Kim YM, Lee SW, Shin-Wha Lee, Shin‐Wha Lee, Kim YT, Young Tae Kim, Eun Ji Nam, Nam EJ, Kim YB, Yong Beom Kim, Lee JR, Jung Ryeol Lee, Hyun-Jin Roh, Hyun‐Jin Roh, Chung H, Hyewon Chung
Journal of Minimally Invasive Gynecology · 2015 · vol. 22(5) , pp. 785–791 · doi:10.1016/j.jmig.2015.02.022 · PMID:25757810 · W2115248919
article OA: green CC0 ⤵ 2 in-corpus citations
🔓 Open OA copy View on OpenAlex View on PubMed View at publisher
⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-12 ⓘ

This prospective randomized trial compared single-port versus multiport laparoscopic hysterectomy for uterine myoma or adenomyosis, assessing differences in success rates.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

Abstract

Study objectiveTo compare the operative outcomes of patients undergoing either single-port or multiport laparoscopic hysterectomy (LH).MethodsTwo hundred fifty-six women scheduled for LH for symptomatic myoma and/or adenomyosis from 8 tertiary teaching hospitals were randomized to single-port or multiport groups. Primary outcome was conversion and/or complication proportion of the planned procedure to determine whether the success proportion of the single-port approach was not inferior to that of the multiport approach. Secondary outcomes were postoperative pain and operative scar.ResultsDemographic parameters including age, body mass index, parity, and history of vaginal and cesarean delivery were comparable between the 2 groups. The primary outcome of a combined conversion and/or complication rate was similar between the single-port and multiport groups at 8% and 10.3%, respectively. Conversions were similar between the groups with 4% of single-port cases and .8% of multiport cases. Transfusions were the most frequent complication required in 4.0% of single-port cases and 7.9% of multiport cases, with no difference between the groups. Concerning secondary outcomes, postoperative pain score and patient and observer scar assessment were not different between the 2 groups. Although not a specific outcome measure, there was no difference between the groups in blood loss, operative time, and postoperative hospital stay.ConclusionSingle-port LH is not inferior to multiport LH in terms of conversion and/or complications rates, including transfusion. However, the single-port approach did not have any advantage over multiport LH with regard to pain or cosmetic outcomes. These findings were demonstrated by multi-institutional surgeons in Korea.

My notes (saved in your browser only)

Condition tags

adenomyosis

MeSH descriptors

Adenomyosis Hysterectomy Hysterectomy Laparoscopy Laparoscopy Leiomyoma Uterine Neoplasms Adenomyosis Adult Female Humans Leiomyoma Middle Aged Operative Time Postoperative Pain Postoperative Pain Postoperative Period Prospective Studies Republic of Korea Treatment Outcome

Citation neighborhood (sparse)

Too few in-corpus citations on either side for a chart; here are the lists.

Cited by (2)

References (16)

Cited by (2)

Source provenance

europepmc
last seen: 2026-08-19T06:08:28.815611+00:00
openalex
last seen: 2026-06-04T00:00:01.174412+00:00
pubmed
last seen: 2026-05-13T22:17:58.238279+00:00
License: CC0 · commercial use OK