Journal List > Korean J Obstet Gynecol > v.55(6) > 1088459

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Lee, Kim, Shin, Choi, Kang, Yang, Koh, and Lee: Single port access laparoscopic hysterectomy for large uterus of more than 500 g
Original Article
Korean Journal of Obstetrics & Gynecology

Korean Journal of Obstetrics & Gynecology 2012; 55(6): 392-397.

Published online: 16 June 2012

DOI: https://doi.org/10.5468/KJOG.2012.55.6.392

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

Geon-Woo Lee, MD, Jang-Keu Kim, MD, Chang-Su Shin, MD, Won-Kyu Choi, MD, Byung-Hun Kang, MD, Jung-bo Yang, MD, Young-bok Koh, MD, Ki-Hwan Lee, MD, PhD

Department of Obstetrics and Gynecology, Chungnam National University School of Medicine, Daejeon, Korea.

Corresponding author: Ki-Hwan Lee, MD. Department Obstetrics and Gynecology, Chungnam National University School of Medicine, 282 Munhwa-ro, Jung-gu, Daejeon 301-721, Korea. Tel: +82-42-280-7269, Fax: +82-42-280-7264, oldfox@cnuh.co.kr

Received 17 March 2012       Accepted 23 April 2012

Copyright © 2012. Korean Society of Obstetrics and Gynecology

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.

Keywords: Single port access, Large uterus, Hysterectomy, Laparoscopy

Figures and Tables

Table 1
Comparison of demographic characteristics in 59 patients who had undertaken laparoscopic hysterectomy either by SPA or conventional method
kjog-55-392-i001

Values are presented as mean ± standard deviation or number.

SPA, single port access.

Table 2
Comparison of postoperative outcomes in 59 patients who had undertaken laparoscopic hysterectomy either by SPA or conventional method
kjog-55-392-i002

Values are presented as mean ± standard deviation or number.

SPA, single port access.

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