Department of Obstetrics and Gynecology, CHA Gangnam Medical Center, CHA University, Seoul, Korea.
Surg Endosc. 2011 Aug;25(8):2462-9. doi: 10.1007/s00464-010-1567-z. Epub 2011 Feb 7.
This study aimed to compare single-port transumbilical total laparoscopic hysterectomy (SPLS-TLH) and four-port total laparoscopic hysterectomy (TLH) in terms of postoperative pain.
The study enrolled 68 patients who underwent TLH from October 2009 to March 2010 and randomly assigned them to one of two groups. Patient demographics, operative outcomes, and postoperative pain were prospectively examined.
Four cases in the SPLS-TLH group were converted to other laparoscopic approaches. The two study groups did not differ in terms of patient demographics and surgical outcomes. Postoperative pain scores, measured using a visual analog scale, did not differ between the two groups. However, significantly higher total requests for analgesics were observed in the SPLS-TLH group (11.3 ± 4.1 vs. 7.7 ± 2.7; p < 0.001).
Compared with four-port TLH, SPLS-TLH is a feasible approach with comparable operative outcomes. However, reduction of postoperative pain is not evident with SPLS-TLH.
本研究旨在比较单孔经脐腹腔镜全子宫切除术（SPLS-TLH）和四孔腹腔镜全子宫切除术（TLH）在术后疼痛方面的差异。
研究纳入了 2009 年 10 月至 2010 年 3 月间接受 TLH 的 68 例患者，并将其随机分为两组。前瞻性检查了患者的人口统计学资料、手术结果和术后疼痛情况。
SPLS-TLH 组中有 4 例中转开腹。两组患者的人口统计学资料和手术结果无差异。使用视觉模拟评分法（VAS）测量的术后疼痛评分在两组间无差异。然而，SPLS-TLH 组总镇痛药需求明显更高（11.3 ± 4.1 比 7.7 ± 2.7；p < 0.001）。
与四孔 TLH 相比，SPLS-TLH 是一种可行的方法，具有相似的手术结果。然而，SPLS-TLH 并不能明显减轻术后疼痛。
