Published in:
01-12-2012
Laparoscopic, minilaparoscopic and single-port hysterectomy: perioperative outcomes
Published in: Surgical Endoscopy | Issue 12/2012
Login to get accessAbstract
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.