Cited 163 times in

Transumbilical single-port access versus conventional total laparoscopic hysterectomy: surgical outcomes

Authors
 Ga Won Yim  ;  Yong Wook Jung  ;  Jiheum Paek  ;  San Hui Lee  ;  Ha Yan Kwon  ;  Eun Ji Nam  ;  Sunghoon Kim  ;  Jae Hoon Kim  ;  Young Tae Kim  ;  Sang Wun Kim 
Citation
 AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, Vol.203(1) : 26.e1-26.e6, 2010 
Journal Title
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY
ISSN
 0002-9378 
Issue Date
2010
MeSH
Female ; Humans ; Hysterectomy/methods* ; Laparoscopy/methods* ; Length of Stay ; Pain, Postoperative ; Retrospective Studies ; Statistics, Nonparametric ; Time Factors ; Treatment Outcome
Keywords
hysterectomy ; laparoscopy ; pain ; single-port access
Abstract
OBJECTIVE: The objective of the study was to compare surgical outcomes and postoperative pain between transumbilical single-port access total laparoscopic hysterectomy (SPA-TLH) and conventional 4-port total laparoscopic hysterectomy (TLH).

STUDY DESIGN: We retrospectively reviewed 157 patients who underwent SPA-TLH (n = 52) or conventional TLH (n = 105). A single-port access system consisted of a wound retractor, surgical glove, 2 5 mm trocars, and 1 10/11 mm trocar.

RESULTS: The SPA-TLH group had less intraoperative blood loss (P < .001), shorter hospital stay (P = .001), and earlier diet intake (P < .001) compared with the conventional TLH group. There was no difference in perioperative complications. Immediate postoperative pain score was lower in the SPA-TLH group (P < .001). Postoperative pain after 6 and 24 hours was lower in SPA-TLH with marginal statistical significance.

CONCLUSION: SPA-TLH is a feasible method for hysterectomy with lower immediate postoperative pain and better surgical outcomes with respect to recovery time compared with conventional TLH
Full Text
http://www.sciencedirect.com/science/article/pii/S0002937810002395
DOI
10.1016/j.ajog.2010.02.026
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Obstetrics and Gynecology (산부인과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Sang Wun(김상운) ORCID logo https://orcid.org/0000-0002-8342-8701
Kim, Sung Hoon(김성훈) ORCID logo https://orcid.org/0000-0002-1645-7473
Kim, Young Tae(김영태) ORCID logo https://orcid.org/0000-0002-7347-1052
Kim, Jae Hoon(김재훈) ORCID logo https://orcid.org/0000-0001-6599-7065
Nam, Eun Ji(남은지) ORCID logo https://orcid.org/0000-0003-0189-3560
Paek, Ji Heum(백지흠)
Lee, San Hui(이산희)
Yim, Ga Won(임가원)
Jung, Yong Wook(정용욱)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/102042
사서에게 알리기
  feedback

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse

Links