Eom Jeong Min, Kim Kye Hyun, Yuk Jin-Sung, Roh Sung Il, Lee Jung Hun
Department of Obstetrics and Gynecology, National Medical Center, Seoul, Republic of Korea.
Surg Endosc. 2015 Jul;29(7):1850-5. doi: 10.1007/s00464-014-3875-1. Epub 2014 Oct 3.
The aim of current study was to determine whether single-port laparoscopic surgery (SP-LS) improves the health-related quality of life (QoL) compared with conventional laparoscopic surgery (conventional LS) in women with benign gynecologic disease.
We performed a prospective case-control study from October 2010 to December 2012. A total of 273 women with benign gynecologic disease participated in this study, and 135 of them were in the SP-LS group and 138 in the conventional LS. We evaluated QoL after SP-LS or conventional LS. All patients were asked to complete short-form 36 (SF-36) QoL health surveys preoperatively and at 1, 3, and 6 months postoperatively.
Clinical characteristics and operative outcomes showed no significant differences between both groups. SP-LS had no benefits in QoL compared with conventional LS in the main categories, even though SP-LS showed statistically significant higher scores than conventional LS for the role of physical domain at 1 month postoperatively and for social function at 3 months postoperatively. In contrast to this, conventional LS had statistically significant higher scores than SP-LS for role function, bodily pain, general health, vitality, and emotional well-being at 6 months postoperatively.
With a 6-month follow-up, SP-LS does not offer a QoL benefit over conventional LS in women with benign gynecologic disease. However, a larger prospective randomized study would be required to confirm this.
本研究的目的是确定在患有良性妇科疾病的女性中，与传统腹腔镜手术（传统腹腔镜手术）相比，单孔腹腔镜手术（SP-LS）是否能改善健康相关生活质量（QoL）。
我们在2010年10月至2012年12月进行了一项前瞻性病例对照研究。共有273例患有良性妇科疾病的女性参与了本研究，其中135例在SP-LS组，138例在传统腹腔镜手术组。我们评估了SP-LS或传统腹腔镜手术后的生活质量。所有患者均被要求在术前以及术后1、3和6个月完成简短健康调查问卷36（SF-36）生活质量调查。
两组的临床特征和手术结果无显著差异。与传统腹腔镜手术相比，SP-LS在主要类别中对生活质量没有益处，尽管SP-LS在术后1个月的身体领域角色和术后3个月的社会功能方面得分在统计学上显著高于传统腹腔镜手术。与此相反，传统腹腔镜手术在术后6个月的角色功能、身体疼痛、总体健康、活力和情感幸福方面得分在统计学上显著高于SP-LS。
经过6个月的随访，对于患有良性妇科疾病的女性，SP-LS在生活质量方面并不优于传统腹腔镜手术。然而，需要更大规模的前瞻性随机研究来证实这一点。
