Gencdal Servet, Aydogmus Huseyin, Aydogmus Serpil, Kolsuz Zafer, Kelekci Sefa
Obstetrics and Gynecology Clinic, Izmir Ataturk Education and Research Hospital, Ministry of Health, Izmir, Turkey.
Department of Obstetrics and Gynecology, School of Medicine, Izmir Katip Celebi University, Izmir, Turkey.
J Clin Med Res. 2017 Jul;9(7):613-617. doi: 10.14740/jocmr3060w. Epub 2017 May 22.
Minimally invasive endoscopic surgery has become an acceptable method for gynecologic indications for more than 20 years. We aimed to compare clinical and surgical outcomes between mini-laparoscopic surgery (MLS) and conventional laparoscopic surgery (CLS) for benign adnexal masses. As far as we know, no comparative study exists between these two minimal invasive procedures.
During the period between January 2014 and December 2016, a total number of 132 laparoscopic surgeries were performed for bening adnexal masses in our clinic. Seventy women underwent CLS and 62 women underwent MLS. Pathological results and operating time of procedures, estimated blood loss, preoperative and postoperative complications, patient scale and observer scale (POSAS) and length of hospital stay were recorded.
There was no difference between the two groups regarding preoperative diagnosis, intraoperative surgical procedure performed, and length of hospital stay. The groups were compared in terms of postoperative pathological diagnosis using the Chi-square test, and there was a statistically significant difference between the two groups. Comparing the operation time and hematocrit change, there were statistically significant differences between the two groups. Both patient and observer PSOAS scar scores were better in MLS group (P < 0.05).
Mini-laparoscopy can be safely and effectively used to perform benign adnexal mass surgery.
微创内镜手术已成为20多年来妇科疾病可接受的治疗方法。我们旨在比较迷你腹腔镜手术（MLS）和传统腹腔镜手术（CLS）治疗良性附件肿块的临床和手术结果。据我们所知，这两种微创手术之间尚无比较研究。
2014年1月至2016年12月期间，我们诊所共对132例良性附件肿块患者进行了腹腔镜手术。70例患者接受CLS，62例患者接受MLS。记录手术的病理结果、手术时间、估计失血量、术前和术后并发症、患者量表和观察者量表（POSAS）以及住院时间。
两组在术前诊断、术中实施的手术操作和住院时间方面无差异。采用卡方检验对两组术后病理诊断进行比较，两组间存在统计学显著差异。比较手术时间和血细胞比容变化，两组间存在统计学显著差异。MLS组患者和观察者的PSOAS瘢痕评分均更好（P < 0.05）。
迷你腹腔镜可安全有效地用于良性附件肿块手术。
