Single-Port Laparoscopic Surgery in Extensive Peritoneal and Ovarian Endometriosis

Jiheum Paek
In: Gynecology & Obstetrics · 2012 · vol. 02(05) · doi:10.4172/2161-0932.1000138 · W2334957268
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Single-port access laparoscopic complete excision was feasible and safe for severe endometriosis, showing similar operative times and blood loss but shorter hospital stays and less postoperative pain compared to conventional laparoscopy.

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This paper evaluated the feasibility and safety of single-port access laparoscopic complete excision (SPA-LCE) for severe endometriosis involving the adnexa and pelvic peritoneum, comparing outcomes in 40 consecutive patients receiving SPA-LCE to a control group undergoing conventional LCE. Operating time and estimated blood loss were similar between groups, with no operative complications reported in either arm. Postoperative hospital stay was shorter in the SPA group (1.9 vs 2.8 days, P=0.008), and postoperative pain scores at 48 hours were lower (1.9 vs 2.8, P=0.001). The study does not describe randomization or other design details beyond the comparison, which is an important limitation when interpreting differences. This paper is centrally about endometriosis — it assesses single-port laparoscopic complete excision for severe peritoneal and ovarian endometriosis.

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Abstract

Objective: The aim of this study was to assess the feasibility and safety of Single-Port Access (SPA) Laparoscopic Complete Excision (LCE) in severe endometriosis of the adnexa and pelvic peritoneum. \nMethods: The surgical outcomes of 40 consecutive patients that underwent SPA-LCE were compared with those from the control group with conventional LCE. \nResults: The mean operating time was 102 min for the SPA group and 103.4 min for the conventional group, respectively (P=0.899). Both groups had the same estimated blood loss (50 mL). The mean postoperative hospital stay of the SPA group was 1.9 days and shorter than that for the conventional group (2.8 days, P=0.008). The mean postoperative pain score after 48-hours of the SPA group was lower as compared to that of the conventional group (1.9 vs. 2.8, P=0.001). There was no operative complication in either group. \nConclusion: SPA-LCE was feasible as a minimal invasive surgery for the treatment of severe endometriosis of the adnexa and pelvic peritoneum.
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Methods

The surgical outcomes of 40 consecutive patients that underwent SPA-LCE were compared with those from the control group with conventional LCE.

Results

The mean operating time was 102 min for the SPA group and 103.4 min for the conventional group, respectively (P=0.899). Both groups had the same estimated blood loss (50 mL). The mean postoperative hospital stay of the SPA group was 1.9 days and shorter than that for the conventional group (2.8 days, P=0.008). The mean postoperative pain score after 48-hours of the SPA group was lower as compared to that of the conventional group (1.9 vs. 2.8, P=0.001). There was no operative complication in either group.

Conclusion

SPA-LCE was feasible as a minimal invasive surgery for the treatment of severe endometriosis of the adnexa and pelvic peritoneum. - Files in This Item: - T201206010.pdf Download - Appears in Collections: - 1. College of Medicine (의과대학) > Dept. of Obstetrics and Gynecology (산부인과학교실) > 1. Journal Papers - Yonsei Authors - Kim, Sang Wun(김상운) https://orcid.org/0000-0002-8342-8701 Kim, Sung Hoon(김성훈) https://orcid.org/0000-0002-1645-7473 Kim, Young Tae(김영태) https://orcid.org/0000-0002-7347-1052 Nam, Eun Ji(남은지) https://orcid.org/0000-0003-0189-3560 Paek, Ji Heum(백지흠) Choi, Young Sik(최영식) https://orcid.org/0000-0002-1157-4822 Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

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endometriosis

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