Gynäkologie und Geburtshilfe
Offener Zugang
ISSN: 2161-0932
ISSN: 2161-0932
Jing-Xin Ding, Xu-Yin Zhang, Chang-Dong Hu und Ke-Qin Hua
Objective: Herein we described our experience with laparoendoscopic single site mymectomy (LESS-M) without the use of a single port access device and compared the clinical outcomes between LESS-M and conventional laparoscopic mymectomy (LM).
Methods: From January 2012 to December 2014, 32 patients with leiomyomas underwent LESS-M in our hospital were enrolled in this prospective observational case-control study, and were 1:1 matched and compared with 32 patients who underwent LM by the same operative team for leimyomas of similar size and location. Patients and surgical data, and follow-up information were analyzed.
Results: The operating time in the LESS-M group was significantly longer than that in the LM group (98 ± 9 min vs 56 ± 7 min, P=0.000), but the patients returned to work significantly earlier (2.9 ± 0.5 week vs 3.7 ± 1.1, P=0.001), and the cosmetic satisfaction score was significantly higher (9.3 ± 0.6 vs 8.4 ± 0.7, P=0.000). There was no significant difference of the mean intraoperative blood loss, hemoglobin change, return of bowel activity, postoperative fever, operation cost and total cost between the two groups.
Conclusion: LESS-M is a feasible, safe, and efficacious procedure with shorter recovery and increased cosmetic satisfaction in selected patients with leiomyoma, and it can be cost-effectively performed without the need for a single port access device.