Sangnier Eva, Lallemant Marine, Gnofam Mayi, Bednarczyk Laurence, Mereb Emile, Graesslin Olivier, Moussy-Berteaux Perrine
Department of Obstetrics and Gynecology, Maison Blanche's Hospital, University of Reims-Champagne-Ardennes, 45, Cognacq-Jay, 51100 Reims, France.
Department of Obstetrics and Gynecology, Jean Minjoz's Hospital, University of Franche-Comté, 3, boulevard Alexandre-Fleming, 25030 Besançon, France.
J Gynecol Obstet Hum Reprod. 2018 Oct;47(8):365-369. doi: 10.1016/j.jogoh.2018.04.006. Epub 2018 Apr 11.
To compare postoperative pain after single port laparoscopy (SPL) approach with conventional laparoscopy (CL) in case of adnexectomy.
This is a retrospective monocentric study involving patients who underwent adnexal surgery by SPL or CL for a suspected benign disease or as a preventive measure. The main outcome measure was the level of postoperative pain.
A total of 87 patients were enrolled. Within 2h, the numerical scale (NS) was 1.9 in SPL group and 2.0 in the CL group (P=0.85). The next day, the NS was 1.8 in SPL group and 1.5 in CL group (P=0.55). The operating time was significantly shorter in SPL group (33 versus 56min, 95% CI [-31; -15], P<0.001) and no rupture of ovarian cysts occurred in this group. There was no significant difference concerning complications, length of hospital stay, general satisfaction and POSAS (Patient and Observer Scar Assessment Scale) score.
This study confirms the feasibility of single-port laparoscopic adnexectomy. We have not shown significant difference in postoperative pain but the operating time was significantly reduced under the guise of an experienced surgeon.
比较单孔腹腔镜手术（SPL）与传统腹腔镜手术（CL）行附件切除术的术后疼痛情况。
这是一项回顾性单中心研究，纳入因疑似良性疾病或作为预防措施而接受SPL或CL附件手术的患者。主要观察指标为术后疼痛程度。
共纳入87例患者。术后2小时内，SPL组数字评分法（NS）为1.9，CL组为2.0（P = 0.85）。术后第二天，SPL组NS为1.8，CL组为1.5（P = 0.55）。SPL组手术时间显著缩短（33分钟对56分钟，95%可信区间[-31；-15]，P < 0.001），且该组未发生卵巢囊肿破裂。并发症、住院时间、总体满意度和患者及观察者瘢痕评估量表（POSAS）评分方面无显著差异。
本研究证实了单孔腹腔镜附件切除术的可行性。我们未发现术后疼痛有显著差异，但在经验丰富的外科医生操作下，手术时间显著缩短。
