title: A Comparison of Single-, Two- and Three-Port Laparoscopic Myomectomy.
abstract: OBJECTIVE
  A recent FDA safety communication has discouraged the use of a power morcellator for myoma extraction and has called for a change in surgical techniques for myomectomy. The objective of this study was to compare surgical outcomes of laparoscopic single-, two-, and conventional three-port myomectomy and to evaluate the feasibility of contained manual morcellation for uterine myoma.
  
  
  METHODS
  This retrospective study was a review and analysis of data from 191 consecutive women who underwent single-, two-, or three-port myomectomy for the management of uterine myoma from January 1, 2009, through December 31, 2014.
  
  
  RESULTS
  The 3 study groups did not differ demographically. Apart from operative time, the single- and two-port groups showed operative outcomes comparable to those of the multiport group. The single-port group had significantly longer operative times (P = .0053) than the two- and three-port groups. However, in the latter half of the single-port cases, the operative time was similar to those in the three-port group. The two-port surgery group showed a consistent operative time without a learning period.
  
  
  CONCLUSIONS
  Single- or two-port myomectomy with transumbilical myoma morcellation is feasible and safe, with outcomes comparable to those of three-port myomectomy. These results suggest the potential for minimally invasive management of symptomatic uterine myoma, without the use of a power morcellator.
authors.affiliation: Department of Obstetrics and Gynecology.
authors.forename: Su Mi
authors.initials: SM
authors.lastname: Kim
authors.affiliation: Department of General Surgery, The Catholic University of Korea, Bucheon St. Mary's Hospital, Seoul, Korea.
authors.forename: Jong Min
authors.initials: JM
authors.lastname: Baek
authors.affiliation: Department of Obstetrics and Gynecology.
authors.forename: Eun Kyung
authors.initials: EK
authors.lastname: Park
authors.affiliation: Department of Obstetrics and Gynecology.
authors.forename: In Cheul
authors.initials: IC
authors.lastname: Jeung
authors.affiliation: Department of Obstetrics and Gynecology, Seoul Medical Center, Seoul, Korea.
authors.forename: Ji Hyang
authors.initials: JH
authors.lastname: Choi
authors.affiliation: Department of Obstetrics and Gynecology.
authors.forename: Chan Joo
authors.initials: CJ
authors.lastname: Kim
authors.affiliation: Department of Obstetrics and Gynecology.
authors.forename: Yong Seok
authors.initials: YS
authors.lastname: Lee
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D000069577:Morcellation; D061646:Operative Time; D012189:Retrospective Studies; D063186:Uterine Myomectomy / Q000379:methods*
keywords: Laparoscopy; Morcellator; Myomectomy; Trocar; Uterine myoma