title: Single-port laparoscopic myomectomy: initial operative experience and comparative outcome.
abstract: OBJECTIVE
  To present the initial operative outcome and comparative data among patients undergoing single-port laparoscopic myomectomy (SPLM).
  
  
  METHODS
  A prospective, observational study of all patients who underwent SPLM was performed. The demographic and operative data, including age, body mass index, operative indications, operative time, estimated blood loss, complications, and postoperative hospital stay were recorded. A match cohort of patients undergoing traditional LM was also retrospectively compared.
  
  
  RESULTS
  SPLM was successfully performed in all ten patients from April 2010 to October 2010. The two groups (SPLM and traditional LM) were matched by age, body mass index, size, and weight of fibroids. The median operating time (196.5 vs. 82.5 min, P < 0.001) and length of hospitalization (3 vs. 2 days, P = 0.042) were significantly longer in SPLM group than in traditional LM group. The median operative blood loss was not significantly different. No patients in either group had serious complications.
  
  
  CONCLUSIONS
  Despite the increased operating time, SPLM is feasible and offers comparable surgical outcomes and superior cosmesis compared with traditional LM.
authors.affiliation: Department of Obstetrics and Gynecology, Division of Gynecologic Endoscopy, Chang Gung Memorial Hospital at Linkou, Chang Gung University College of Medicine, 5, Fu-Hsin Street, Kwei-Shan, Tao-Yuan, Taiwan.
authors.forename: Chien-Min
authors.initials: CM
authors.lastname: Han
authors.forename: Chyi-Long
authors.initials: CL
authors.lastname: Lee
authors.forename: Hsuan
authors.initials: H
authors.lastname: Su
authors.forename: Pei-Ju
authors.initials: PJ
authors.lastname: Wu
authors.forename: Chin-Jung
authors.initials: CJ
authors.lastname: Wang
authors.forename: Chih-Feng
authors.initials: CF
authors.lastname: Yen
mesh_terms: D000328:Adult; D016063:Blood Loss, Surgical / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000295:instrumentation / Q000379:methods*; D007889:Leiomyoma / Q000601:surgery*; D007902:Length of Stay / Q000706:statistics & numerical data; D016555:Matched-Pair Analysis; D008875:Middle Aged; D061646:Operative Time; D011183:Postoperative Complications / Q000453:epidemiology; D011446:Prospective Studies; D016896:Treatment Outcome; D063186:Uterine Myomectomy / Q000295:instrumentation / Q000379:methods*; D014594:Uterine Neoplasms / Q000601:surgery*