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Obstet Gynecol Sci > Volume 55(12); 2012 > Article
Korean Journal of Obstetrics & Gynecology 2012;55(12):940-946.
DOI: https://doi.org/10.5468/KJOG.2012.55.12.940    Published online December 18, 2012.
A comparison of two-port and conventional laparoscopic hysterectomy in terms of surgical outcomes and feasibility.
Yeon Hong, Young Eun Jeon, Ji Ann Jung, Hye Yeon Kim, Seok Kyo Seo, Sihyun Cho, Young Sik Choi, Byung Seok Lee
1Department of Obstetrics and Gynecology, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea. sihyuncho@yuhs.ac
2Department of Obstetrics and Gynecology, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
3Department of Obstetrics and Gynecology, Yongin Severance Hospital, Yonsei University College of Medicine, Yongin, Korea.
Abstract
OBJECTIVE
To compare two-port laparoscopic hysterectomy to conventional hysterectomy. METHODS: We retrospectively analyzed medical records of patients undergoing hysterectomy between March 2011 and February 2012. Patients were stratified into two groups by surgical approach. Clinical features and surgical outcomes were compared. RESULTS: Of a total of 68 laparoscopic hysterectomy, 35 (51.5%) were two-port laparoscopy, 33 (48.5%) were conventional laparoscopy. The weight of uterus were heavier in the conventional laparoscopic hysterectomy group (338.06 +/- 148.44 g) than in the two-port laparoscopic (318.38 +/- 137.73 g) group but there were no significant differences (P=0.572). Estimate blood loss was reported in the two-port and conventional laparoscopic group with blood loss of 314.0 +/- 227.18 mL, 293.64 +/- 282.35 mL (P=0.744). Actual surgical time was 194.94 +/- 46.08 minutes in the two-port, 195.36 +/- 54.28 minutes in the conventional (P=0.973). Patients in the two-port group had similar length of hospital stay of 5.69 +/- 1.1 days as compared to 5.85 +/- 0.8 days in the conventional group (P=0.476) but there were no significant differences. Immediate postoperative pain by using a visual analogue scale was 4.49 +/- 1.56 point in the two-port group, 4.55 +/- 2.03 point in the conventional laparoscopic group (P=0.892). CONCLUSION: Two-port group is a feasible method with comparable operative outcomes including operative time, blood loss, weight of uterus, postoperative pain, and hospital stay when compared with the conventional laparoscopic hysterectomy. Therefore two-port laparoscopic hysterectomy may replace the role of conventional laparoscopic hysterectomy.
Key Words: Two-port, Laparoscopic hysterectomy, Surgical outcomes


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