Abstract
Background: Endometriosis is a common, chronic gynecological disease. Laparoscopy is currently the preferred method of ovarian endometriosis. However, the safety and feasibility of laparoendoscopic single-site surgery for ovarian endometrioid cyst removal still need to be discussed. Objective: To explore the safety and feasibility of laparoendoscopic single-site (LESS) surgery versus conventional multiport laparoscopic (CMPL) surgery for the ovarian endometrioid cystectomy. Methods: We retrospectively analyzed the data of 47 patients who had undergone LESS and LESS ovarian cystectomy due to ovarian endometrioid cyst in our hospital from March 2018 to April 2019. The patients were classified into single-port group (14) and multiport group (33) based on surgical paths. The patients’ general characteristics and perioperative outcomes compared. Results: There were no significant statistical differences between the two groups (P>0.05) in the operation time and the maximum body temperature in 24 h after operation. There were significant statistical differences (all P<0.05) in postoperative decrease of Hb, intraoperative bleeding volume, total hospital stay and CS score. Conclusion: LESS for ovarian endometrioid cyst removal is safe and feasible, and it better than CMPL in relieving postoperative pain and inproving cosmetic effects and so on.
Highlights
Endometriosis (EMS) is a condition caused by the presence of functioning endometrial tissue outside the uterine cavity
EMS invaded one or both ovaries and formed ovarian endometriosis, which mainly manifested as dysmenorrhea, infertility and pelvic mass, which seriously affected the quality of life of patients [2]
From March 2018 to April 2019, 14 patients with ovarian endometrioid cyst were treated with laparoendoscopic single-site (LESS) surgery, and the results were satisfactory, compared with 33 patients with multiport laparoscopy surgery (MPLS), the safety and feasibility of the operation were evaluated
Summary
Endometriosis (EMS) is a condition caused by the presence of functioning endometrial tissue (glands and stroma) outside the uterine cavity. EMS can affect all parts of the body, and the ovary is the most common site of invasion [1]. With the improvement of laparoscopy skills, the more minimally invasive laparoendoscopic single-site (LESS) surgery has become more and more popular among patients, especially young women [4, 5]. From March 2018 to April 2019, 14 patients with ovarian endometrioid cyst were treated with laparoendoscopic single-site (LESS) surgery, and the results were satisfactory, compared with 33 patients with multiport laparoscopy surgery (MPLS), the safety and feasibility of the operation were evaluated. The safety and feasibility of laparoendoscopic single-site surgery for ovarian endometrioid cyst removal still need to be discussed. Objective: To explore the safety and feasibility of laparoendoscopic single-site (LESS) surgery versus conventional multiport laparoscopic (CMPL) surgery for the ovarian endometrioid cystectomy. Conclusion: LESS for ovarian endometrioid cyst removal is safe and feasible, and it better than CMPL in relieving postoperative pain and inproving cosmetic effects and so on
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