Analysis of 46 cases of combined operation of gynecological and surgical diseases with single-hole laparoscopy of instruments

Abstract

Objective To explore the application value of the combined operation of gynecological and surgical diseases with single - hole laparoscope of conventional instruments. Methods A retrospective analysis from Jan. 2014 to Nov. 2017, 46 cases(observation group) of combined operation of gynecological and surgical diseases with single-hole laparoscope of conventional instruments, and make a comparative analysis of 46 cases(control group)of gynecological operation with single- hole laparoscopy in the same period(combined operation of 32 cases of single-hole laparoscopic cholecystectomy and ovarian cyst, 6 cases of combined gallbladder and uterus resectionsection, 3 cases of combined operation of gallbladder and fallopian tube, 4 cases of joint operation of appendix and ovarian cyst, the appendix joint surgery and chronic tubal pregnancy in 1 case) . Results Observation group: The operation time was 50- 240 min, with an average of (119.03 ± 41.17)min. The intraoperative blood loss was 10l - 450 ml, with an average of (46.33 ± 17.28)ml, and the length of hospital stay was 3- 7 days, with an average of (3.98 ± 0.75)days. Control group: The operation time was 50 - 210 min, with an average of (106.39 ± 32.32)min. The intraoperative blood loss was 20- 300 ml, with an average of (45.65 ± 16.20)ml, and the length of hospital stay was 3- 5 days, with an average of (3.80 ± 0.02)days. There was no statisticall significant difference between the groups in the operation time, blood loss and the length of hospital stay(P> 0.05). Conclusions The combined operation of multiple diseases of gynecology and surgery under single-hole laparoscopy can reduce health care costs. At the same time, patients with small abdominal incision have a strong aesthetic effect. Key words: Single hole; Laparoscopic gynecological surgery; Surgery