Kim Tae-Joong, Song Taejong, Choi Chel Hun, Lee Jeong-Won, Bae Duk-Soo, Kim Byoung-Gie
1 Department of Obstetrics and Gynecology, Samsung Medical Center, Sungkyunkwan University School of Medicine , Seoul, Republic of Korea.
J Laparoendosc Adv Surg Tech A. 2014 Apr;24(4):254-9. doi: 10.1089/lap.2013.0507. Epub 2014 Feb 25.
To compare the clinical results of two types of laparoendoscopic single-site surgery (LESS) laparoscopic hysterectomy (LH): LH with some vaginal component [LH(a)] versus laparoscopically assisted vaginal hysterectomy (LAVH).
This is a retrospective comparative study. A single surgeon performed 50 LESS-LAVH procedures consecutively between March 2009 and October 2009 and 50 LESS-LH(a) procedures consecutively between January 2011 and July 2011.
Most LESS-LH(a)s/LAVH procedures were successful. Of 50 LESS-LH(a) procedures, 2 were converted to LESS-LAVH. Of 50 LESS-LAVHs, 1 required additional ports. The LESS-LH(a) group had a shorter operative time and less postoperative pain compared with the LESS-LAVH group. Operative complications were not significantly different between the groups.
LESS-LH(a) and LESS-LAVH are both feasible and safe methods, with similar surgical outcomes. In terms of operative time and postoperative pain, LESS-LH(a) is superior to LESS-LAVH.
比较两种腹腔镜单孔手术（LESS）式腹腔镜子宫切除术（LH）的临床结果：含部分经阴道操作的LH[LH(a)]与腹腔镜辅助经阴道子宫切除术（LAVH）。
这是一项回顾性对照研究。同一位外科医生于2009年3月至2009年10月间连续实施了50例LESS-LAVH手术，并于2011年1月至2011年7月间连续实施了50例LESS-LH(a)手术。
大多数LESS-LH(a)/LAVH手术成功。在50例LESS-LH(a)手术中，2例转为LESS-LAVH手术。在50例LESS-LAVH手术中，1例需要增加辅助端口。与LESS-LAVH组相比，LESS-LH(a)组手术时间更短，术后疼痛更轻。两组间手术并发症无显著差异。
LESS-LH(a)和LESS-LAVH都是可行且安全的方法，手术结果相似。在手术时间和术后疼痛方面，LESS-LH(a)优于LESS-LAVH。
