Korean J Obstet Gynecol.  2012 Jun;55(6):392-397. 10.5468/KJOG.2012.55.6.392.

Single port access laparoscopic hysterectomy for large uterus of more than 500 g

• Lee GW
• Kim JK
• Shin CS
• Choi WK
• Kang BH
• Yang JB
• Koh YB
• Lee KH

• KMID: 1783931
• DOI: http://doi.org/10.5468/KJOG.2012.55.6.392

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).
CONCLUSION
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

MeSH Terms

Body Mass Index
Hematocrit
Hemoglobins
Hysterectomy
Laparoscopy
Length of Stay
Retrospective Studies
Uterus
Hemoglobins

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