title: Comparison study of consecutive 100 cases of single port vs. multiport laparoscopic myomectomy; technical point of view.
abstract: We report our experience with single-port and multiple-port laparoscopic myomectomy with operative outcomes and surgical skills. Hundred consecutive patients underwent single-port laparoscopic myomectomy (SP-LM) and 69 multi-port laparoscopic myomectomy (MP-LM). The operative outcomes were compared between the two methods. All procedures were successfully completed without conversion to abdominal myomectomy. The mean maximum diameter of the largest myoma was 7.4 (5-13) vs. 6.8 (5-12) cm and the mean number of myomas was 1.7 vs. 1.6 in SP-LM and MP-LM group, respectively. Mean operative time was 134.2 vs. 122.9 min in SP-LM and MP-LM group (p = .109). We showed that SPL myomectomy is a safe and feasible technique compared to MPL myomectomy with respect to postoperative pain, mean operating time, mean estimated blood loss and length of stay. To improve suturing technique of SP-LM, the working instruments were placed external to the telescope with 'micro-triangulation'.
authors.affiliation: a Department of Obstetrics and Gynecology , Hallym University Sacred Heart Hospital, Hallym University College of Medicine , Anyang , Korea.
authors.forename: Suk Woo
authors.initials: SW
authors.lastname: Lee
authors.affiliation: b Department of Obstetrics and Gynecology , The Catholic University of Korea , Seoul , Korea.
authors.forename: Eun Kyung
authors.initials: EK
authors.lastname: Park
authors.affiliation: b Department of Obstetrics and Gynecology , The Catholic University of Korea , Seoul , Korea.
authors.forename: Sung Jong
authors.initials: SJ
authors.lastname: Lee
authors.affiliation: b Department of Obstetrics and Gynecology , The Catholic University of Korea , Seoul , Korea.
authors.forename: Keun Ho
authors.initials: KH
authors.lastname: Lee
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods* / Q000706:statistics & numerical data; D008875:Middle Aged; D012189:Retrospective Studies; D063186:Uterine Myomectomy / Q000379:methods* / Q000706:statistics & numerical data; D055815:Young Adult
keywords: Laparoscopy; myomectomy; single-port surgery