Efficacy of myomectomy via transumbilical laparoendompic single-site surgery and traditional multiport laparoscopy_Chinese Journal of Evidence-Based Medicine

Authors：

YANG Lanying ^1,2 , YANG Fan ¹ , WANG Jiaxia ² , LIU Hang ² ,  QI Xiaorong ¹

1. Department of Gynecologic Oncology, West China Second University Hospital, Sichuan University, Chengdu 610041, P.R.China;
2. Department of Gynecology, Chengdu Western Hospital, Chengdu 610000, P.R.China;

Corresponding author：

QI Xiaorong, Email: qixiaorong11@163.com

Keywords：

Transumbilical laparoendompic single-site surgery; Traditional multiport laparoscopy; Clinical efficacy; Myomectomy; Cohort study

DOI：

10.7507/1672-2531.202009115

Video：

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Objective To evaluate the efficacy of myomectomy via transumbilical laparoendompic single-site surgery (TU-LESS) and traditional multiport laparoscopy.Methods The study was conducted at Chengdu Western Hospital from June 2019 to June 2020. Fifty patients underwent TU-LESS myomectomy (TU-LESS group), while another 50 patients underwent traditional multiport laparoscopic myomectmy (multiport laparoscopy group). The conditions of operation, extra analgetic usage, VAS grade, and patients’ satisfaction degree were compared between two groups.Results Patients in both groups had similar age, BMI, fibroma volume, operative time, expelling gas day, blood loss, complication rate, and hospitalized costs (P>0.05). Compared with traditional multiport laparoscopy, the TU-LESS group resulted in significantly shorter hospitalization day, lower VAS score of the 1^st/3^nd/7^th days after surgery, less use of analgetic after surgery, and higher satisfaction degree.Conclusions TU-LESS is safe and feasible for myomectomy, and it is associated with less pain, shorter hospitalization day, and higher satisfaction degree.

Citation： YANG Lanying, YANG Fan, WANG Jiaxia, LIU Hang, QI Xiaorong. Efficacy of myomectomy via transumbilical laparoendompic single-site surgery and traditional multiport laparoscopy. Chinese Journal of Evidence-Based Medicine, 2021, 21(4): 391-393. doi: 10.7507/1672-2531.202009115 Copy

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12.	李景东, 李娅. 经脐单孔与三孔法腹腔镜胆囊切除术治疗结石性胆囊炎的疗效评价. 中国保健营养, 2020, 30(23): 130-131.
13.	马志明, 刘天舟, 刘晶晶, 等. 改良完全腹腔镜胃腔内手术治疗贲门或幽门周围黏膜下肿瘤的临床疗效. 中华消化外科杂志, 2019, 18(3): 264-269.
14.	周克水, 章由生. 妇科经脐单孔腹腔镜手术 50 例报告. 腹腔镜外科杂志, 2010, 15(1): 23-24.
15.	郑民华. NOTES 与单孔腹腔镜技术的发展现状与展望. 中国微创外科杂志, 2010, 10(1): 18-20.
16.	孙大为. 中国大陆妇科单孔腹腔镜手术的现状和展望. 中国临床新医学, 2020, 13(8): 752-755.
17.	陈敏, 章柏花, 李丹红, 等. 常规器械经脐单孔腹腔镜手术在妇科良性疾病中的临床应用. 国际妇产科学杂志, 2020, 47(1): 115-118, 封3.
18.	陈艳. 单孔腹腔镜技术在妇科手术中的应用和进展. 国际妇产科学杂志, 2013, 40(4): 350-352, 357.

1. 黄旭红, 陈元平. 100 例经脐单孔腹腔镜技术在妇科良性疾病诊治中的应用体会. 贵州医药, 2020, 44(6): 923-924.
2. 张国楠, 石宇, 朱熠. 无瘤技术是腹腔镜下子宫(肿瘤)分碎术的安全保障—时隔7年再谈分碎术与防范措施的进步. 肿瘤预防与治疗, 2019, 32(5): 381-384.
3. 张忠涛. NOTES带给我们什么?—现实可行的技术还是微创外科的理念. 中国实用外科杂志, 2010, 20(3): 167-169.
4. 中华医学会外科学分会腹腔镜与内镜外科学组. 单孔腔镜手术技术专家共识. 中国实用外科杂志, 2010, 30(8): 665-666.
5. 卢一平. 单孔腹腔镜技术在泌尿外科应用的现状及威望. 国际外科学会杂志, 2010, 37(5): 293.
6. 国晓梅, 曹亚琼, 周丽, 等. 经脐单孔腹腔镜妇科手术 32 例. 中华腔镜外科杂志(电子版), 2012, 5(2): 115-117.
7. 孙大为. 单孔腹腔镜手术在妇科的应用探讨. 中华腔镜外科杂志(电子版), 2013, 6(1): 5-8.
8. Rudzinski E, Gilroy M, Newbill C, et al. Positive C4d immunostaining of placental villous syncytiotrophoblasts supports host-versus-graft rejection in villitis of unknown etiology. Pediatr Dev Pathol, 2013, 16(1): 7-13.
9. 马秀清, 苗庆松. 经脐单孔腹腔镜辅助阴式全子宫切除术. 腹腔镜外科杂志, 2011, 16(5): 337-338.
10. Canes D, Desai MM, Aron M, et al. Transumbilical single-port surgery: evolution and current status. Eur Urol, 2008, 54(5): 1020-1029.
11. 耿吉祥, 杨军文. 经脐单孔腹腔镜技术在妇科中的临床应用进展. 齐齐哈尔医学院学报, 2020, 41(4): 464-466.
12. 李景东, 李娅. 经脐单孔与三孔法腹腔镜胆囊切除术治疗结石性胆囊炎的疗效评价. 中国保健营养, 2020, 30(23): 130-131.
13. 马志明, 刘天舟, 刘晶晶, 等. 改良完全腹腔镜胃腔内手术治疗贲门或幽门周围黏膜下肿瘤的临床疗效. 中华消化外科杂志, 2019, 18(3): 264-269.
14. 周克水, 章由生. 妇科经脐单孔腹腔镜手术 50 例报告. 腹腔镜外科杂志, 2010, 15(1): 23-24.
15. 郑民华. NOTES 与单孔腹腔镜技术的发展现状与展望. 中国微创外科杂志, 2010, 10(1): 18-20.
16. 孙大为. 中国大陆妇科单孔腹腔镜手术的现状和展望. 中国临床新医学, 2020, 13(8): 752-755.
17. 陈敏, 章柏花, 李丹红, 等. 常规器械经脐单孔腹腔镜手术在妇科良性疾病中的临床应用. 国际妇产科学杂志, 2020, 47(1): 115-118, 封3.
18. 陈艳. 单孔腹腔镜技术在妇科手术中的应用和进展. 国际妇产科学杂志, 2013, 40(4): 350-352, 357.

Chinese Journal of Evidence-Based Medicine

Efficacy of myomectomy via transumbilical laparoendompic single-site surgery and traditional multiport laparoscopy

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