Single port access laparoscopic hysterectomy for large uterus of more than 500 g.

Lee, Geon Woo; Kim, Jang Keu; Shin, Chang Su; Choi, Won Kyu; Kang, Byung Hun; Yang, Jung Bo; Koh, Young Bok; Lee, Ki Hwan

doi:2012.55.6.392

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Obstet Gynecol Sci > Volume 55(6); 2012 > Article

Original Article

Korean Journal of Obstetrics & Gynecology 2012;55(6):392-397.
DOI: https://doi.org/10.5468/KJOG.2012.55.6.392 Published online June 16, 2012.

Single port access laparoscopic hysterectomy for large uterus of more than 500 g.

Geon Woo Lee, Jang Keu Kim, Chang Su Shin, Won Kyu Choi, Byung Hun Kang, Jung Bo Yang, Young Bok Koh, Ki Hwan Lee

Department of Obstetrics and Gynecology, Chungnam National University School of Medicine, Daejeon, Korea. oldfox@cnuh.co.kr

Abstract

OBJECTIVE
To compare the outcomes of single port access (SPA) laparoscopic hysterectomy and conventional laparoscopic hysterectomy for the large uterus of more than 500 g. METHODS: Twenty-seven cases of SPA laparoscopic hysterectomy and 32 cases of conventional laparoscopic hysterectomy were retrospectively analysed. The surgery had performed by single surgeon from January 2010 to July 2011 in Chungnam National University Hospital. We compared demographic characteristics and surgical outcomes. RESULTS: There were no significant difference in patients' age, body mass index, past surgical history, postoperative additional pain control and duration of hospital stay between the two groups. Uterine weight was 706.5+/-363.2 g (range, 500-2,415 g) for SPA laparoscopic hysterectomy and 634.0+/-153.3 g (range, 500-1,130 g) for conventional laparoscopic hysterectomy and significantly not different between the two groups. Operation time was significantly longer in SPA laparoscopic hysterectomy than conventional laparoscopic hysterectomy (81.1+/-18.1 minutes vs. 67.2+/-16.8 minutes). Postoperative change in hemoglobin and hematocrit was statistically higher in SPA laparoscopic hysterectomy than conventional laparoscopic hysterectomy (1.9+/-0.9 g/dL, 2.9+/-4.2% vs. 1.0+/-1.3 g/dL, 6.2+/-2.9%, respectively). CONCLUSION: Operation time was longer and postoperative change in hemoglobin and hematocrit was significantly higher in SPA laparoscopic hysterectomy than conventional laparoscopic hysterectomy. However, SPA laparoscopic hysterectomy will replace conventional laparoscopic hysterectomy in a future with improving surgical technique.

Key Words: Single port access, Large uterus, Hysterectomy, Laparoscopy

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