Taejong Song1, Mi Kyoung Kim1, Mi-La Kim1, Bo Sung Yoon1, Seok Ju Seong2. 1. Department of Obstetrics and Gynecology, CHA Gangnam Medical Center, CHA University, Seoul, Korea. 2. Department of Obstetrics and Gynecology, CHA Gangnam Medical Center, CHA University, Seoul, Korea. Electronic address: sjseongcheil@naver.com.
Abstract
STUDY OBJECTIVE: To determine whether fewer ports in laparoscopic adnexal surgery would lead to better cosmesis. DESIGN: Prospective comparative study (Canadian Task Force classification II-2). SETTING: University hospital. PATIENTS: One hundred thirty consecutive patients with adnexal tumors. INTERVENTIONS: Patients underwent laparoscopy using a single port (n = 75), 2 ports (n = 22), or 4 ports (n = 33). Cosmetic satisfaction was assessed using a validated Body Image Questionnaire at 1, 4, and 12 weeks after surgery. MEASUREMENTS AND MAIN RESULTS: Patient characteristics (age, parity, and sociodemographic data), details of the procedures performed, and histologic findings were similar between the 3 surgical groups. There was also no difference in number of conversions to other surgical approaches, operative time, estimated blood loss, postoperative pain, and perioperative complications. Compared with the 2- and 4-port groups, the single-port group reported substantially greater cosmetic satisfaction at 1, 4, and 12 weeks after surgery. However, there was no important difference in cosmetic outcome throughout follow-up in the 2-t and 4-port groups. CONCLUSION: Unlike 2- or 4-port laparoscopy, single-port laparoscopy has a definite benefit in cosmetic satisfaction.
STUDY OBJECTIVE: To determine whether fewer ports in laparoscopic adnexal surgery would lead to better cosmesis. DESIGN: Prospective comparative study (Canadian Task Force classification II-2). SETTING: University hospital. PATIENTS: One hundred thirty consecutive patients with adnexal tumors. INTERVENTIONS:Patients underwent laparoscopy using a single port (n = 75), 2 ports (n = 22), or 4 ports (n = 33). Cosmetic satisfaction was assessed using a validated Body Image Questionnaire at 1, 4, and 12 weeks after surgery. MEASUREMENTS AND MAIN RESULTS:Patient characteristics (age, parity, and sociodemographic data), details of the procedures performed, and histologic findings were similar between the 3 surgical groups. There was also no difference in number of conversions to other surgical approaches, operative time, estimated blood loss, postoperative pain, and perioperative complications. Compared with the 2- and 4-port groups, the single-port group reported substantially greater cosmetic satisfaction at 1, 4, and 12 weeks after surgery. However, there was no important difference in cosmetic outcome throughout follow-up in the 2-t and 4-port groups. CONCLUSION: Unlike 2- or 4-port laparoscopy, single-port laparoscopy has a definite benefit in cosmetic satisfaction.