Clinical experience with single-port access laparoscopic cystectomy and myomectomy.
OBJECTIVE
This study was performed to assess our clinical experience with single-port access (SPA) laparoscopic cystectomy and myomectomy and the surgical outcomes of those procedures at our institution.


METHODS
The authors evaluated the surgical outcomes of SPA laparoscopic cystectomy in 293 patients and SPA laparoscopic myomectomy in 246 patients. The surgical outcomes comprised operation time, the amount of blood loss during the operation, the change in hemoglobin (before and after the operation), the change in hematocrit (before and after the operation), switching to the multi-port access method, complications, transfusions, and the duration of the postoperative hospital stay.


RESULTS
The Pearson correlation coefficient and the Spearman correlation coefficient between the operation time and the amount of blood loss were 0.312 and 0.321 for SPA laparoscopic cystectomy, respectively, and 0.706 and 0.674 for SPA laparoscopic myomectomy, respectively. The drops in hemoglobin and hematocrit were 1.33±0.78 g/dL and 4.14%±2.45%, respectively, in SPA laparoscopic cystectomy, while the corresponding figures were 1.34±1.13 g/dL and 4.17%±3.24% in SPA laparoscopic myomectomy, respectively.


CONCLUSIONS
This study reported the surgical outcomes of SPA laparoscopic cystectomy and myomectomy and compared them to previously published findings on traditional laparoscopic cystectomy and myomectomy. No significant differences were found in the surgical outcomes between SPA and traditional laparoscopic cystectomy and myomectomy.
Department of Obstetrics and Gynecology, Hwamyeong Ilsin Christian Hospital, Busan, Korea.
Jae-Hyeok
JH
Jeong
Department of Obstetrics and Gynecology, Hwamyeong Ilsin Christian Hospital, Busan, Korea.
Yu-Ri
YR
Kim
Department of Obstetrics and Gynecology, Hwamyeong Ilsin Christian Hospital, Busan, Korea.
Kil-Pyo
KP
Hong
Department of Obstetrics and Gynecology, Hwamyeong Ilsin Christian Hospital, Busan, Korea.
Jae-Eun
JE
Ha
Department of Obstetrics and Gynecology, Hwamyeong Ilsin Christian Hospital, Busan, Korea.
Eun-Jeong
EJ
Kim
Department of Obstetrics and Gynecology, Hwamyeong Ilsin Christian Hospital, Busan, Korea.
Da-Kyo
DK
Hong
Department of Obstetrics and Gynecology, Pusan National University School of Medicine, Busan, Korea.
Kyu-Sup
KS
Lee
Cystectomy; Laparoscopy; Minimally invasive surgical procedures; Single port; Squamous intraepithelial lesions of the cervix; Uterine myomectomy