The preliminary experience of 5mm mini-incision laparoendoscopic single-site surgery for hysterectomy

Abstract

Objective To investigate the feasibility and safety of laparoscopic single-site hysterectomy with 5 mm mini-incision. Methods A retrospective analysis was made to the clinical data of a patient who underwent 5mm mini-incision single-site laparoscopic hysterectomy at the Department of Obstetrics and Gynecology, the Affiliated Changzhou No.2 People′s Hospital of Nanjing Medical University. The patient was a 52-year-old woman presented with intrauterine space occupying and pathological findings after curettage suggested endometrial complex hyperplasia with atypical hyperplasia. Laparoscopic single-site hysterectomy was performed through a 5 mm mini-incision. Results The operation was completed successfully. The total operative time was 155 min. No other port incision or transfer to open procedure was needed and the intra-operative blood loss was 50 ml . Bowel peristalsis and micturition recovered 1 d and 2 d respectively after the operation. No obvious scar was left on the surface of umbilicus. The post-operative pathology result was endometrial complex hyperplasia. The patient recovered well, and was satisfactory with the curative efficacy. Conclusions Under the indication range, laparoscopic single-site hysterectomy through 5 mm mini-incision might be safe and feasible for some appropriate patients . Key words: Mini-incision; Laparoendoscopic single-site surgery; Hysterectomy; Endometrial atypical hyperplasia