|
KMID : 0358420120550060392
|
|
Korean Journal of Obstetrics and Gynecology
2012 Volume.55 No. 6 p.392 ~ p.397
|
|
|
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
|
|
|
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).
Conslusion: 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.
|
|
|
KEYWORD
|
|
|
Single port access, Large uterus, Hysterectomy, Laparoscopy
|
|
|
FullTexts / Linksout information
|
|
 
|
|
|
Listed journal information
|
|
  
|
|