Abstract
<h3>Study Objective</h3> To investigate the safety and clinical value of transumbilical single-port laparoscopic surgery (TSPLS) in the treatment of benign ovarian cysts in children and adolescents. <h3>Design</h3> A retrospective analysis was performed on 85 children and adolescents who underwent benign ovarian cystectomies in Fujian Maternity and Child Health Hospital, Affiliated Hospital of Fujian Medical University from January 2019 to January 2022, including 55 cases of mature cystic teratoma, 16 cases of myxoid cystadenoma, 9 cases of serous cystadenoma, 2 cases of parovarium cyst, 2 cases of follicular cyst, and 1 cases of ovarian thecoma-fibroma. Among them, 33 cases with transumbilical single-port laparoscopic oophorocystectomy (TSPLO group), median age was 14 years (7-18 years), mean diameter of ovarian cysts was (13.06 ± 7.80 cm). 52 cases with transumbilical multi-port laparoscopic oophorocystectomy (TMPLO group), median age was 15 years (6-18 years) and mean diameter of ovarian cysts was (7.69 ± 2.80 cm). Operative time, intraoperative blood loss, intraoperative cyst rupture rate, time to anal exhaust and hospital stay, Cosmetic Score (CS) and Visual Analogue Scale (VAS) were compared between the two groups. <h3>Setting</h3> N/A <h3>Patients or Participants</h3> N/A <h3>Interventions</h3> N/A <h3>Measurements and Main Results</h3> No conversion to laparotomy or surgical complications occurred in the two groups, and no statistical significance in operative time, intraoperative blood loss and intraoperative cyst rupture rate (all P > 0.05). The time to anal exhaust (18.82 ± 4.58 h vs. 21.29 ± 5.11 h, P = 0.027) and hospital stay (3.39 ± 0.83 day vs.3.92 ± 1.13-day, P = 0.023) in TSPLO group were shorter than those in TMPLO group. Lower postoperative VAS scores and higher CS scores were seen in the TSPLO group (all P < 0.05). <h3>Conclusion</h3> TSPLS is safe and feasible for benign ovarian cysts in children and adolescents, and has obvious advantages of fast postoperative recovery, good cosmetic effect and high satisfaction rate of patients.
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