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Laparoendoscopic single-site versus conventional laparoscopic surgery for ovarian mature cystic teratoma
- Source :
- Obstetrics & Gynecology Science
- Publication Year :
- 2015
- Publisher :
- Korean Society of Obstetrics and Gynecology; Korean Society of Contraception and Reproductive Health; Korean Society of Gynecologic Endocrinology; Korean Society of Gynecologic Endoscopy and Minimal Invasive Surgery; Korean Society of Maternal Fetal Medicine; Korean Society of Ultrasound in Obstetrics and Gynecology; Korean Urogynecologic Society, 2015.
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Abstract
- Objective: To compare the intraoperative and postoperative outcomes of laparoendoscopic single-site surgery (LESS) versus conventional laparoscopic surgery in women with ovarian mature cystic teratoma. Methods: A retrospective review of 303 women who underwent LESS (n=139) or conventional laparoscopic surgery (n=164) due to ovarian mature cystic teratoma was performed. Intra- and postoperative outcomes were compared between the two groups. Results: There was no intergroup difference in age, body weight, height, body mass index, comorbidities, tumor size, bilaterality of tumor, or the type of surgery. However, more patients in the LESS group had a history of previous abdominal surgery (19.4% vs. 6.7%, P=0.001). Surgical outcomes including operating time (89 vs. 87.8 minutes, P=0.734), estimated blood loss (69.4 vs. 68.4 mL, P=0.842), transfusion requirement (2.2% vs. 0.6%, P=0.336), perioperative hemoglobin level change (1.3 vs. 1.2 g/dL, P=0.593), postoperative hospital stay (2.0 vs. 2.1 days, P=0.119), and complication rate (1.4% vs. 1.8%, P=0.999) did not differ between LESS and conventional groups. Postoperative pain scores measured using a visual analogue scale were significantly lower in the LESS group at 8 hours (P=0.021), 16 hours (P=0.034), and 32 hours (P=0.004) after surgery, and 32 of 139 patients (23%) in the LESS group and 78 of 164 patients (47.6%) in the conventional group required at least one additional analgesic (P
- Subjects :
- Laparoscopic surgery
Ovarian mature cystic teratoma
medicine.medical_specialty
Mature cystic teratoma
Visual analogue scale
business.industry
medicine.medical_treatment
Analgesic
Ovary
Obstetrics and Gynecology
Perioperative
Laparoendoscopic single-site surgery
Laparoscopes
Surgery
medicine.anatomical_structure
Medicine
Single-port
Original Article
General Gynecology
business
Body mass index
Abdominal surgery
Subjects
Details
- Language :
- English
- ISSN :
- 22878580 and 22878572
- Volume :
- 58
- Issue :
- 4
- Database :
- OpenAIRE
- Journal :
- Obstetrics & Gynecology Science
- Accession number :
- edsair.doi.dedup.....ade465326681872b68eb9a0748604c8c