Seul Ki Kim1, Ji Hyun Lee1, Jung Ryeol Lee2, Chang Suk Suh3, Seok Hyun Kim4. 1. Department of Obstetrics and Gynecology, Seoul National University Bundang Hospital, Seongnam, Korea. 2. Department of Obstetrics and Gynecology, Seoul National University Bundang Hospital, Seongnam, Korea; Department of Obstetrics and Gynecology, Seoul National University College of Medicine, Seongnam, Korea. Electronic address: leejrmd@snu.ac.kr. 3. Department of Obstetrics and Gynecology, Seoul National University Bundang Hospital, Seongnam, Korea; Department of Obstetrics and Gynecology, Seoul National University College of Medicine, Seongnam, Korea. 4. Department of Obstetrics and Gynecology, Seoul National University College of Medicine, Seongnam, Korea.
Abstract
STUDY OBJECTIVE: The objective of this study was to evaluate laparoendoscopic single-site myomectomy (LESS-M) for the surgical treatment of fibroids and to compare surgical outcomes and postoperative pain with conventional laparoscopic myomectomy (CLM). DESIGN: Retrospective study. SETTING: University-based hospital. PATIENTS: Data were obtained from medical records of patients who underwent LESS-M between August 2011 and June 2012. Considering the surgeon's learning curve for LESS-M, we collected the data after 100 LESS-M procedures were performed. The cases were compared with a historic cohort of patients who underwent CLM performed by the same surgeon between July 2008 and May 2009. A single experienced surgeon performed both procedures in all patients. A total of 118 patients who underwent LESS-M or CLM were included in the study (59 in the LESS-M group and 59 in the CLM group). INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: We analyzed and compared patient basal characteristics and surgical outcomes between the 2 groups. There were no statistically significant differences in basal characteristics (i.e., age, body mass index, number and size of myomas, and type of the largest myoma) between the 2 groups. The surgical outcomes (i.e., operative time, estimated blood loss, postoperative hemoglobin drop, postoperative hospital stay, and postoperative pain scores) were not different statistically between the 2 groups. Moreover, patients did not experience major intraoperative complications. Postoperative complications were wound infections that occurred in 3 patients (2 in the LESS-M and 1 in the CLM groups). CONCLUSION: LESS-M is feasible for less than 5 myomas and offers comparable surgical outcomes with those of CLM after the surgeon's initial learning curve.
STUDY OBJECTIVE: The objective of this study was to evaluate laparoendoscopic single-site myomectomy (LESS-M) for the surgical treatment of fibroids and to compare surgical outcomes and postoperative pain with conventional laparoscopic myomectomy (CLM). DESIGN: Retrospective study. SETTING: University-based hospital. PATIENTS: Data were obtained from medical records of patients who underwent LESS-M between August 2011 and June 2012. Considering the surgeon's learning curve for LESS-M, we collected the data after 100 LESS-M procedures were performed. The cases were compared with a historic cohort of patients who underwent CLM performed by the same surgeon between July 2008 and May 2009. A single experienced surgeon performed both procedures in all patients. A total of 118 patients who underwent LESS-M or CLM were included in the study (59 in the LESS-M group and 59 in the CLM group). INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: We analyzed and compared patient basal characteristics and surgical outcomes between the 2 groups. There were no statistically significant differences in basal characteristics (i.e., age, body mass index, number and size of myomas, and type of the largest myoma) between the 2 groups. The surgical outcomes (i.e., operative time, estimated blood loss, postoperative hemoglobin drop, postoperative hospital stay, and postoperative pain scores) were not different statistically between the 2 groups. Moreover, patients did not experience major intraoperative complications. Postoperative complications were wound infections that occurred in 3 patients (2 in the LESS-M and 1 in the CLM groups). CONCLUSION: LESS-M is feasible for less than 5 myomas and offers comparable surgical outcomes with those of CLM after the surgeon's initial learning curve.
Authors: Su Mi Kim; Jong Min Baek; Eun Kyung Park; In Cheul Jeung; Ji Hyang Choi; Chan Joo Kim; Yong Seok Lee Journal: JSLS Date: 2015 Sep-Dec Impact factor: 2.172
Authors: Ji Hyun Lee; Sang Hyun Cho; Kyung Jin Eoh; Jung-Yun Lee; Eun Ji Nam; Sunghoon Kim; Sang Wun Kim; Young Tae Kim Journal: Obstet Gynecol Sci Date: 2020-03-19