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Multi-institution, Prospective, Randomized Trial to Compare the Success Rates of Single-port Versus Multiport Laparoscopic Hysterectomy for the Treatment of Uterine Myoma or Adenomyosis

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Affiliated Author(s)
조치흠권상훈신소진
Alternative Author(s)
Cho, Chi HeumKwon, Sang HoonShin, So Jin
Journal Title
Journal of Minimally Invasive Gynecology
ISSN
1553-4650
Issued Date
2015
Keyword
Laparoendoscopic single-site surgeryL aparoscopic hysterectomySingle-portRandomized clinical trial
Abstract
Study Objective: To compare the operative outcomes of patients undergoing either single-port or multiport laparoscopic
hysterectomy (LH).
Methods: Two hundred fifty-six women scheduled for LH for symptomatic myoma and/or adenomyosis from 8 tertiary
teaching hospitals were randomized to single-port or multiport groups. Primary outcome was conversion and/or
complication proportion of the planned procedure to determine whether the success proportion of the single-port
approach was not inferior to that of the multiport approach. Secondary outcomes were postoperative pain and operative
scar.
Results: Demographic parameters including age, body mass index, parity, and history of vaginal and cesarean delivery
were comparable between the 2 groups. The primary outcome of a combined conversion and/or complication rate was
similar between the single-port and multiport groups at 8% and 10.3%, respectively. Conversions were similar between
the groups with 4% of single-port cases and .8% of multiport cases. Transfusions were the most frequent complication
required in 4.0% of single-port cases and 7.9% of multiport cases, with no difference between the groups. Concerning secondary
outcomes, postoperative pain score and patient and observer scar assessment were not different between the 2
groups. Although not a specific outcome measure, there was no difference between the groups in blood loss, operative
time, and postoperative hospital stay.
Conclusion: Single-port LH is not inferior to multiport LH in terms of conversion and/or complications rates, including
transfusion. However, the single-port approach did not have any advantage over multiport LH with regard to
pain or cosmetic outcomes. These findings were demonstrated by multi-institutional surgeons in Korea.
Department
Dept. of Obstetrics & Gynecology (산부인과학)
Publisher
School of Medicine
Citation
Tae-Joong Kim et al. (2015). Multi-institution, Prospective, Randomized Trial to Compare the Success Rates of Single-port Versus Multiport Laparoscopic Hysterectomy for the Treatment of Uterine Myoma or Adenomyosis. Journal of Minimally Invasive Gynecology, 22(5), 785–791. doi: 10.1016/j.jmig.2015.02.022
Type
Article
ISSN
1553-4650
DOI
10.1016/j.jmig.2015.02.022
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/33004
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Obstetrics & Gynecology (산부인과학)
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