Laparoscopic, minilaparoscopic and single-port hysterectomy: perioperative outcomes.
OBJECTIVE
This study was designed to compare perioperative outcomes and postoperative pain of standard laparoscopic (S-LPS), minilaparoscopic (M-LPS), and laparoendoscopic single-site (LESS) hysterectomy.


METHODS
A single-institutional, matched, retrospective, cohort study was performed. Between May 2010 and March 2011, 85 consecutive women were submitted to a total laparoscopic hysterectomy by S-LPS, M-LPS, and single-port LESS. Perioperative outcomes of these three techniques were analyzed and compared.


RESULTS
Demographics and baseline characteristics of each group were absolutely comparable. The median operative time was longer [105 (range, 75-125) min] in the LESS group compared with the M-LPS group [90 (range, 60-120) min; p < 0.011] and S-LPS [80 (range, 50-110) min; p < 0.001]. No statistically significant differences have been reported for estimated blood loss or intra- and early postoperative complications. Postoperative pain control was better for LESS and M-LPS than S-LPS.


CONCLUSIONS
M-LPS and LESS hysterectomy can be performed safely, and both seem to be associated with a halving of early postoperative pain with a lower request of analgesics.
Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Catholic University of the Sacred Heart, L.go A. Gemelli 8, 00168, Rome, Italy. francesco.fanfani@rm.unicatt.it
Francesco
F
Fanfani
Anna
A
Fagotti
Cristiano
C
Rossitto
Maria Lucia
ML
Gagliardi
Alfredo
A
Ercoli
Valerio
V
Gallotta
Salvatore
S
Gueli Alletti
Giorgia
G
Monterossi
Luigi Carlo
LC
Turco
Giovanni
G
Scambia
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015331:Cohort Studies; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000379:methods*; D010535:Laparoscopy / Q000379:methods*; D008875:Middle Aged; D010149:Postoperative Pain / Q000453:epidemiology*; D012189:Retrospective Studies; D016896:Treatment Outcome