Abstract
Objective
This study was designed to compare perioperative outcomes and postoperative pain of standard laparoscopic (S-LPS), minilaparoscopic (M-LPS), and laparoendoscopic single-site (LESS) hysterectomy.
Methods
A single-institutional, matched, retrospective, cohort study was performed. Between May 2010 and March 2011, 85 consecutive women were submitted to a total laparoscopic hysterectomy by S-LPS, M-LPS, and single-port LESS. Perioperative outcomes of these three techniques were analyzed and compared.
Results
Demographics and baseline characteristics of each group were absolutely comparable. The median operative time was longer [105 (range, 75–125) min] in the LESS group compared with the M-LPS group [90 (range, 60–120) min; p < 0.011] and S-LPS [80 (range, 50–110) min; p < 0.001]. No statistically significant differences have been reported for estimated blood loss or intra- and early postoperative complications. Postoperative pain control was better for LESS and M-LPS than S-LPS.
Conclusions
M-LPS and LESS hysterectomy can be performed safely, and both seem to be associated with a halving of early postoperative pain with a lower request of analgesics.
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Disclosures
Drs. Francesco Fanfani, Anna Fagotti, Cristiano Rossitto, Maria Lucia Gagliardi, Alfredo Ercoli, Valerio Gallotta, Salvatore Gueli Alletti, Giorgia Monterossi, Luigi Carlo Turco, and Giovanni Scambia have conflict of interest or financial ties to disclose.
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Fanfani, F., Fagotti, A., Rossitto, C. et al. Laparoscopic, minilaparoscopic and single-port hysterectomy: perioperative outcomes. Surg Endosc 26, 3592–3596 (2012). https://doi.org/10.1007/s00464-012-2377-2
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DOI: https://doi.org/10.1007/s00464-012-2377-2