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| Comparative analysis of effect of single port and traditional multiport used in laparoscopic ovarian cystectomy |
| 1. Luzhou Maternal & Child Health Care Hospital/Luzhou Second People’s Hospital,Luzhou, Sichuan Province,646000; 2. The Affiliated Hospital of Southwest Medical University |
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Abstract Objective: To explore the differences of single port and traditional multiport used in laparoscopic ovarian cystectomy. Methods: The clinical data of 86 patients with ovarian cysts from May 2016 to May 2018 were retrospectively analyzed. According to different surgical methods, the patients were divided into group A (patients treated by single port laparoscopic ovarian cystectomy) and group B (43 patients treated by traditional multiport laparoscopic ovarian cystectomy). The indexes related to surgical, visual analogue scale (VAS) at 24h after operation, the rate of postoperative complication, aesthetic satisfaction degree, and levels of estradiol (E2), luteinizing hormone (LH) and follicle stimulating hormone (FSH) of patients before and after operation were compared between the two groups. Results: There were no significant differences in volume of intraoperative blood loss, operative time, postoperative exhaust time, time of hospital stay, and incidence of postoperative complication of patients between the two groups (P>0.05). The VAS score at 24h after operation of patients in group A was 2.6±1.3 points, which was significant lower than that (5.1±1.8 points) of patients in group B. The total aesthetic satisfaction of patients in group A was 95.4%, which was significant higher than that (79.1%) of patients in group B (P<0.05). At 1 month after operation, the serum E2 level of patients in the two groups had decreased, while the levels of LH and FSH had increased (P<0.05), and there were no significant differences in the serum E2, LH and FSH levels of patients between the groups (P>0.05). Conclusion: Single port and traditional multiport used in laparoscopic ovarian cystectomy has the same effectiveness and safety, but single port laparoscopic ovarian cystectomy leads less trauma to the body, and can effectively reduce postoperative pain and improve aesthetic satisfaction.
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