TY - JOUR
T1 - Laparoscopic, minilaparoscopic and single-port hysterectomy
T2 - Perioperative outcomes
AU - Fanfani, Francesco
AU - Fagotti, Anna
AU - Rossitto, Cristiano
AU - Gagliardi, Maria Lucia
AU - Ercoli, Alfredo
AU - Gallotta, Valerio
AU - Alletti, Salvatore Gueli
AU - Monterossi, Giorgia
AU - Turco, Luigi Carlo
AU - Scambia, Giovanni
PY - 2012/12
Y1 - 2012/12
N2 - 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 controlwas 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.
AB - 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 controlwas 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.
KW - Laparoscopic hysterectomy
KW - Minilaparoscopy
KW - Single-port
UR - http://www.scopus.com/inward/record.url?scp=84871623874&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84871623874&partnerID=8YFLogxK
U2 - 10.1007/s00464-012-2377-2
DO - 10.1007/s00464-012-2377-2
M3 - Article
C2 - 22678177
AN - SCOPUS:84871623874
VL - 26
SP - 3592
EP - 3596
JO - Surgical Endoscopy
JF - Surgical Endoscopy
SN - 0930-2794
IS - 12
ER -