Efficacy of myomectomy via transumbilical laparoendompic single-site surgery and traditional multiport laparoscopy_Chinese Journal of Evidence-Based Medicine

Authors：

YANG Lanying ^1,2 , YANG Fan ¹ , WANG Jiaxia ² , LIU Hang ² ,  QI Xiaorong ¹

1. Department of Gynecologic Oncology, West China Second University Hospital, Sichuan University, Chengdu 610041, P.R.China;
2. Department of Gynecology, Chengdu Western Hospital, Chengdu 610000, P.R.China;

Corresponding?author：

QI Xiaorong, Email: qixiaorong11@163.com

Keywords：

Transumbilical laparoendompic single-site surgery; Traditional multiport laparoscopy; Clinical efficacy; Myomectomy; Cohort study

DOI：

10.7507/1672-2531.202009115

Video：

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Objective To evaluate the efficacy of myomectomy via transumbilical laparoendompic single-site surgery (TU-LESS) and traditional multiport laparoscopy.Methods The study was conducted at Chengdu Western Hospital from June 2019 to June 2020. Fifty patients underwent TU-LESS myomectomy (TU-LESS group), while another 50 patients underwent traditional multiport laparoscopic myomectmy (multiport laparoscopy group). The conditions of operation, extra analgetic usage, VAS grade, and patients’ satisfaction degree were compared between two groups.Results Patients in both groups had similar age, BMI, fibroma volume, operative time, expelling gas day, blood loss, complication rate, and hospitalized costs (P>0.05). Compared with traditional multiport laparoscopy, the TU-LESS group resulted in significantly shorter hospitalization day, lower VAS score of the 1^st/3^nd/7^th days after surgery, less use of analgetic after surgery, and higher satisfaction degree.Conclusions TU-LESS is safe and feasible for myomectomy, and it is associated with less pain, shorter hospitalization day, and higher satisfaction degree.

Citation： YANG Lanying, YANG Fan, WANG Jiaxia, LIU Hang, QI Xiaorong. Efficacy of myomectomy via transumbilical laparoendompic single-site surgery and traditional multiport laparoscopy. Chinese Journal of Evidence-Based Medicine, 2021, 21(4): 391-393. doi: 10.7507/1672-2531.202009115 Copy

1.	黃旭紅, 陳元平. 100 例經臍單孔腹腔鏡技術在婦科良性疾病診治中的應用體會. 貴州醫藥, 2020, 44(6): 923-924.
2.	張國楠, 石宇, 朱熠. 無瘤技術是腹腔鏡下子宮(腫瘤)分碎術的安全保障—時隔7年再談分碎術與防范措施的進步. 腫瘤預防與治療, 2019, 32(5): 381-384.
3.	張忠濤. NOTES帶給我們什么?—現實可行的技術還是微創外科的理念. 中國實用外科雜志, 2010, 20(3): 167-169.
4.	中華醫學會外科學分會腹腔鏡與內鏡外科學組. 單孔腔鏡手術技術專家共識. 中國實用外科雜志, 2010, 30(8): 665-666.
5.	盧一平. 單孔腹腔鏡技術在泌尿外科應用的現狀及威望. 國際外科學會雜志, 2010, 37(5): 293.
6.	國曉梅, 曹亞瓊, 周麗, 等. 經臍單孔腹腔鏡婦科手術 32 例. 中華腔鏡外科雜志(電子版), 2012, 5(2): 115-117.
7.	孫大為. 單孔腹腔鏡手術在婦科的應用探討. 中華腔鏡外科雜志(電子版), 2013, 6(1): 5-8.
8.	Rudzinski E, Gilroy M, Newbill C, et al. Positive C4d immunostaining of placental villous syncytiotrophoblasts supports host-versus-graft rejection in villitis of unknown etiology. Pediatr Dev Pathol, 2013, 16(1): 7-13.
9.	馬秀清, 苗慶松. 經臍單孔腹腔鏡輔助陰式全子宮切除術. 腹腔鏡外科雜志, 2011, 16(5): 337-338.
10.	Canes D, Desai MM, Aron M, et al. Transumbilical single-port surgery: evolution and current status. Eur Urol, 2008, 54(5): 1020-1029.
11.	耿吉祥, 楊軍文. 經臍單孔腹腔鏡技術在婦科中的臨床應用進展. 齊齊哈爾醫學院學報, 2020, 41(4): 464-466.
12.	李景東, 李婭. 經臍單孔與三孔法腹腔鏡膽囊切除術治療結石性膽囊炎的療效評價. 中國保健營養, 2020, 30(23): 130-131.
13.	馬志明, 劉天舟, 劉晶晶, 等. 改良完全腹腔鏡胃腔內手術治療賁門或幽門周圍黏膜下腫瘤的臨床療效. 中華消化外科雜志, 2019, 18(3): 264-269.
14.	周克水, 章由生. 婦科經臍單孔腹腔鏡手術 50 例報告. 腹腔鏡外科雜志, 2010, 15(1): 23-24.
15.	鄭民華. NOTES 與單孔腹腔鏡技術的發展現狀與展望. 中國微創外科雜志, 2010, 10(1): 18-20.
16.	孫大為. 中國大陸婦科單孔腹腔鏡手術的現狀和展望. 中國臨床新醫學, 2020, 13(8): 752-755.
17.	陳敏, 章柏花, 李丹紅, 等. 常規器械經臍單孔腹腔鏡手術在婦科良性疾病中的臨床應用. 國際婦產科學雜志, 2020, 47(1): 115-118, 封3.
18.	陳艷. 單孔腹腔鏡技術在婦科手術中的應用和進展. 國際婦產科學雜志, 2013, 40(4): 350-352, 357.

1. 黃旭紅, 陳元平. 100 例經臍單孔腹腔鏡技術在婦科良性疾病診治中的應用體會. 貴州醫藥, 2020, 44(6): 923-924.
2. 張國楠, 石宇, 朱熠. 無瘤技術是腹腔鏡下子宮(腫瘤)分碎術的安全保障—時隔7年再談分碎術與防范措施的進步. 腫瘤預防與治療, 2019, 32(5): 381-384.
3. 張忠濤. NOTES帶給我們什么?—現實可行的技術還是微創外科的理念. 中國實用外科雜志, 2010, 20(3): 167-169.
4. 中華醫學會外科學分會腹腔鏡與內鏡外科學組. 單孔腔鏡手術技術專家共識. 中國實用外科雜志, 2010, 30(8): 665-666.
5. 盧一平. 單孔腹腔鏡技術在泌尿外科應用的現狀及威望. 國際外科學會雜志, 2010, 37(5): 293.
6. 國曉梅, 曹亞瓊, 周麗, 等. 經臍單孔腹腔鏡婦科手術 32 例. 中華腔鏡外科雜志(電子版), 2012, 5(2): 115-117.
7. 孫大為. 單孔腹腔鏡手術在婦科的應用探討. 中華腔鏡外科雜志(電子版), 2013, 6(1): 5-8.
8. Rudzinski E, Gilroy M, Newbill C, et al. Positive C4d immunostaining of placental villous syncytiotrophoblasts supports host-versus-graft rejection in villitis of unknown etiology. Pediatr Dev Pathol, 2013, 16(1): 7-13.
9. 馬秀清, 苗慶松. 經臍單孔腹腔鏡輔助陰式全子宮切除術. 腹腔鏡外科雜志, 2011, 16(5): 337-338.
10. Canes D, Desai MM, Aron M, et al. Transumbilical single-port surgery: evolution and current status. Eur Urol, 2008, 54(5): 1020-1029.
11. 耿吉祥, 楊軍文. 經臍單孔腹腔鏡技術在婦科中的臨床應用進展. 齊齊哈爾醫學院學報, 2020, 41(4): 464-466.
12. 李景東, 李婭. 經臍單孔與三孔法腹腔鏡膽囊切除術治療結石性膽囊炎的療效評價. 中國保健營養, 2020, 30(23): 130-131.
13. 馬志明, 劉天舟, 劉晶晶, 等. 改良完全腹腔鏡胃腔內手術治療賁門或幽門周圍黏膜下腫瘤的臨床療效. 中華消化外科雜志, 2019, 18(3): 264-269.
14. 周克水, 章由生. 婦科經臍單孔腹腔鏡手術 50 例報告. 腹腔鏡外科雜志, 2010, 15(1): 23-24.
15. 鄭民華. NOTES 與單孔腹腔鏡技術的發展現狀與展望. 中國微創外科雜志, 2010, 10(1): 18-20.
16. 孫大為. 中國大陸婦科單孔腹腔鏡手術的現狀和展望. 中國臨床新醫學, 2020, 13(8): 752-755.
17. 陳敏, 章柏花, 李丹紅, 等. 常規器械經臍單孔腹腔鏡手術在婦科良性疾病中的臨床應用. 國際婦產科學雜志, 2020, 47(1): 115-118, 封3.
18. 陳艷. 單孔腹腔鏡技術在婦科手術中的應用和進展. 國際婦產科學雜志, 2013, 40(4): 350-352, 357.

Chinese Journal of Evidence-Based Medicine

Efficacy of myomectomy via transumbilical laparoendompic single-site surgery and traditional multiport laparoscopy

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