Karasu Yetkin, Akselim Burak, Kavak Cömert Duygu, Ergün Yusuf, Ülker Kahraman
a Obstetrics and Gynecology , Ankara Training and Research Hospital , Ankara , Turkey.
b Obstetrics and Gynecology , Memorial Şişli Hospital , İstanbul , Turkey.
Minim Invasive Ther Allied Technol. 2017 Oct;26(5):278-283. doi: 10.1080/13645706.2017.1299763. Epub 2017 Mar 14.
Our aim was to compare single incision and conventional laparoscopic surgeries performed for benign adnexal masses with regard to their intraoperative characteristics and postoperative pain levels.
The main outcome measures were laparoscopic entry time, total operation time, amount of bleeding, intraoperative complications, post-operative pain scores, additional analgesic requirements, and length of hospital stay.
A total of 71 women, 39 in the conventional laparoscopy group and 32 in the SILS group, participated in the study. Demographic findings did not differ between the two groups. Similarly, rates of intraoperative complications, rates of conversion to laparotomy, pre- and postoperative hematocrit levels were not significantly different between the groups. Laparoscopic entry time was shorter in the SILS group (10.4 ± 5.9 min. vs. 5.28 ± 1.7 min.). However, total operation time was similar in the two groups. The groups did not show significant differences regarding additional analgesic requirements, or postoperative pain scores after 24 h. However, pain scores in the recovery room and after six and 12 h were lower in the SILS group.
SILS seems to be effective and safe for the treatment of benign adnexal masses. SILS appears to be advantageous regarding postoperative pain especially in the early period.
我们的目的是比较针对良性附件肿块进行的单切口腹腔镜手术和传统腹腔镜手术的术中特征及术后疼痛程度。
主要观察指标为腹腔镜进入时间、总手术时间、出血量、术中并发症、术后疼痛评分、额外镇痛需求及住院时间。
共有71名女性参与研究，传统腹腔镜组39名，单切口腹腔镜手术（SILS）组32名。两组的人口统计学结果无差异。同样，两组间术中并发症发生率、中转开腹率、术前及术后血细胞比容水平也无显著差异。SILS组的腹腔镜进入时间较短（10.4±5.9分钟对5.28±1.7分钟）。然而，两组的总手术时间相似。两组在额外镇痛需求或24小时后的术后疼痛评分方面无显著差异。然而，SILS组在恢复室以及术后6小时和12小时的疼痛评分较低。
SILS治疗良性附件肿块似乎有效且安全。SILS在术后疼痛方面似乎具有优势，尤其是在早期。
