Laparoscopic, minilaparoscopic and single-port hysterectomy: Perioperative outcomes

Francesco Fanfani, Anna Fagotti, Cristiano Rossitto, Maria Lucia Gagliardi, Alfredo Ercoli, Valerio Gallotta, Salvatore Gueli Alletti, Giorgia Monterossi, Luigi Carlo Turco, Giovanni Scambia

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish
Pages (from-to)3592-3596
Number of pages5
JournalSurgical Endoscopy and Other Interventional Techniques
Volume26
Issue number12
DOIs
Publication statusPublished - Dec 2012

Keywords

  • Laparoscopic hysterectomy
  • Minilaparoscopy
  • Single-port

ASJC Scopus subject areas

  • Surgery

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