title: Quality of life after single-port laparoscopic surgery versus conventional laparoscopic surgery for benign gynecologic disease.
abstract: BACKGROUND
  The aim of current study was to determine whether single-port laparoscopic surgery (SP-LS) improves the health-related quality of life (QoL) compared with conventional laparoscopic surgery (conventional LS) in women with benign gynecologic disease.
  
  
  METHODS
  We performed a prospective case-control study from October 2010 to December 2012. A total of 273 women with benign gynecologic disease participated in this study, and 135 of them were in the SP-LS group and 138 in the conventional LS. We evaluated QoL after SP-LS or conventional LS. All patients were asked to complete short-form 36 (SF-36) QoL health surveys preoperatively and at 1, 3, and 6 months postoperatively.
  
  
  RESULTS
  Clinical characteristics and operative outcomes showed no significant differences between both groups. SP-LS had no benefits in QoL compared with conventional LS in the main categories, even though SP-LS showed statistically significant higher scores than conventional LS for the role of physical domain at 1 month postoperatively and for social function at 3 months postoperatively. In contrast to this, conventional LS had statistically significant higher scores than SP-LS for role function, bodily pain, general health, vitality, and emotional well-being at 6 months postoperatively.
  
  
  CONCLUSIONS
  With a 6-month follow-up, SP-LS does not offer a QoL benefit over conventional LS in women with benign gynecologic disease. However, a larger prospective randomized study would be required to confirm this.
authors.affiliation: Department of Obstetrics and Gynecology, National Medical Center, Seoul, Republic of Korea.
authors.forename: Jeong Min
authors.initials: JM
authors.lastname: Eom
authors.forename: Kye Hyun
authors.initials: KH
authors.lastname: Kim
authors.forename: Jin-Sung
authors.initials: JS
authors.lastname: Yuk
authors.forename: Sung Il
authors.initials: SI
authors.lastname: Roh
authors.forename: Jung Hun
authors.initials: JH
authors.lastname: Lee
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016022:Case-Control Studies; D005260:Female; D005500:Follow-Up Studies; D005831:Genital Diseases, Female / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000379:methods* / Q000523:psychology*; D008875:Middle Aged; D011446:Prospective Studies; D011788:Quality of Life; D055815:Young Adult