Multi-institution, Prospective, Randomized Trial to Compare the Success Rates of Single-port Versus Multiport Laparoscopic Hysterectomy for the Treatment of Uterine Myoma or Adenomyosis
- Authors
- Kim, T.-J.[Kim, T.-J.]; Shin, S.-J.[Shin, S.-J.]; Kim, T.-H.[Kim, T.-H.]; Cho, C.-H.[Cho, C.-H.]; Kwon, S.-H.[Kwon, S.-H.]; Sung, S.[Sung, S.]; Song, T.[Song, T.]; Hur, S.[Hur, S.]; Kim, Y.-M.[Kim, Y.-M.]; Lee, S.-W.[Lee, S.-W.]; Kim, Y.T.[Kim, Y.T.]; Nam, E.J.[Nam, E.J.]; Kim, Y.B.[Kim, Y.B.]; Lee, J.R.[Lee, J.R.]; Roh, H.-J.[Roh, H.-J.]; Chung, H.[Chung, H.]
- Issue Date
- Jul-2015
- Publisher
- ELSEVIER SCIENCE INC
- Keywords
- Laparoendoscopic single-site surgery; Laparoscopic hysterectomy; Single-port; Randomized clinical trial
- Citation
- JOURNAL OF MINIMALLY INVASIVE GYNECOLOGY, v.22, no.5, pp.785 - 791
- Indexed
- SCIE
SCOPUS
- Journal Title
- JOURNAL OF MINIMALLY INVASIVE GYNECOLOGY
- Volume
- 22
- Number
- 5
- Start Page
- 785
- End Page
- 791
- URI
- https://scholarworks.bwise.kr/skku/handle/2021.sw.skku/43391
- DOI
- 10.1016/j.jmig.2015.02.022
- ISSN
- 1553-4650
- Abstract
- Study Objective: To compare the operative outcomes of patients undergoing either single-port or multiport laparoscopic hysterectomy (LH). Methods: Two hundred fifty-six women scheduled for LH for symptomatic myoma and/or adenomyosis from 8 tertiary teaching hospitals were randomized to single-port or multiport groups. Primary outcome was conversion and/or complication proportion of the planned procedure to determine whether the success proportion of the single-port approach was not inferior to that of the multiport approach. Secondary outcomes were postoperative pain and operative scar. Results: Demographic parameters including age, body mass index, parity, and history of vaginal and cesarean delivery were comparable between the 2 groups. The primary outcome of a combined conversion and/or complication rate was similar between the single-port and multiport groups at 8% and 10.3%, respectively. Conversions were similar between the groups with 4% of single-port cases and .8% of multiport cases. Transfusions were the most frequent complication required in 4.0% of single-port cases and 7.9% of multiport cases, with no difference between the groups. Concerning secondary outcomes, postoperative pain score and patient and observer scar assessment were not different between the 2 groups. Although not a specific outcome measure, there was no difference between the groups in blood loss, operative time, and postoperative hospital stay. Conclusion: Single-port LH is not inferior to multiport LH in terms of conversion and/or complications rates, including transfusion. However, the single-port approach did not have any advantage over multiport LH with regard to pain or cosmetic outcomes. These findings were demonstrated by multi-institutional surgeons in Korea. (C) 2015 AAGL. All rights reserved.
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Collections - Medicine > Department of Medicine > 1. Journal Articles
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