Department of Obstetrics and Gynecology, School of Medicine, Kyungpook National University, Kyungpook National University Chilgok Hospital, Daegu, Republic of Korea.
Department of Obstetrics and Gynecology, School of Medicine, Kyungpook National University, Kyungpook National University Chilgok Hospital, Daegu, Republic of Korea
In Vivo. 2022 Sep-Oct;36(5):2409-2413. doi: 10.21873/invivo.12974.
BACKGROUND/AIM: Short-term feasibility and safety of single-port total laparoscopic hysterectomy (TLH) compared with conventional multi-port TLH have been previously demonstrated. However, recent studies are insufficient. This study aimed to analyze long-term data from our center to examine the current status of single-port and multi-port TLH.
In 766 patients who received TLH from 2005 to 2019, 325 were single-port and 441 were multi-port. Inclusion criteria were benign and premalignant uterine diseases. To reduce the impact of treatment selection bias and potential confounding factors, inverse probability of treatment weighting was applied.
Single-port TLH showed significantly better clinical outcomes for hospital stay, operative time, hemoglobin decrease, and complication rate than the multi-port TLH after correction of biases. C-reactive protein increased after the single-port TLH.
As laparoscopic surgical instruments and surgeon's skill have been improved, some surgical outcomes have become significantly better in single-port TLH after long-term observation.
背景/目的：与传统多孔腹腔镜子宫切除术（TLH）相比，单孔 TLH 的短期可行性和安全性已得到证实。然而，最近的研究还不够充分。本研究旨在分析我们中心的长期数据，以检查单孔和多孔 TLH 的现状。
在 2005 年至 2019 年间接受 TLH 的 766 名患者中，325 名接受了单孔 TLH，441 名接受了多孔 TLH。纳入标准为良性和癌前子宫疾病。为了减少治疗选择偏差和潜在混杂因素的影响，应用了逆概率治疗加权。
经偏差校正后，单孔 TLH 在住院时间、手术时间、血红蛋白下降和并发症发生率方面的临床结局明显优于多孔 TLH。单孔 TLH 后 C 反应蛋白升高。
随着腹腔镜手术器械和外科医生技能的提高，经过长期观察，单孔 TLH 的一些手术结果显著改善。
