Total Laparoscopic Hysterectomy for Benign Uterine Disease: Analysis of Initial 40 Cases

Abstract

Study Objective: To evaluate the efficacy and safety of single port LAVH comparing to conventional three ports LAVH in women with benign uterine diseases. Design: Prospective analysis of 158 cases of single port (N = 78) and three ports LAVH (N = 78). Setting: Kyung Hee University Hospital and Haeundae Paik Hospital, Tertiary teaching University Hospital. Patients: One hundred fifty eight patients with benign uterine diseases. Intervention: Single port LAVH and three ports LAVH. Measurements and Main Results: Data analysis was done for 78 patients in the single port LAVH group and 78 patients in the conventional LAVH group. No major complications, including ureteral or bladder injuries, occurred in any of the patients. No statistically significant differences were found in mean age, mean body mass index, mean operative time, mean anesthesia time, mean estimated blood loss, or mean postoperative days to passage of flatus, but the mean uterine weights on the pathologic reports and mean postoperative pain score were significantly reduced in the single port LAVH group. Conclusion: The single port LAVH could be a feasible alternative method for removal of the uterus with a less weight uterus and resulting in better postoperative pain score and cosmetic outcomes.