Jeong Jae Hyeok, Kim Yoo Ri, Kim Bo Ram, Lee Ji Won, Oh Seung Yeon, Yun Jeong Hye, Han Myoung Seok, Song Yong Jung, Kim Ki Hyung
Department of Obstetrics and Gynecology, Yeonje Ilsin Hospital, Busan 04991, Republic of Korea.
Department of Obstetrics and Gynecology, School of Medicine, Pusan National University, Busan 46241, Republic of Korea.
J Clin Med. 2025 Jun 7;14(12):4044. doi: 10.3390/jcm14124044.
: This study aimed to introduce clinical experience using a new surgical technique, single-port access laparoscopic fundusectomy, a more efficient uterus-sparing surgical method for adenomyosis in patients with no plans for pregnancy. : We performed single-port access laparoscopic myomectomy in 141 patients and single-port access laparoscopic fundusectomy in 124 patients and compared the surgical outcomes. : Significant differences in surgical outcomes were observed between the two operating methods. Operative time was 158.19 min (±42.93) in the fundusectomy group and 179.11 min (±56.95) in the adenomyomectomy group ( = 0.001). Estimated blood loss was 175.04 mL (±142.76) in the fundusectomy group and 347.97 mL (±409.78) in the adenomyomectomy group ( = 0.000). The fundusectomy group showed smaller uterus size and volume, and lower postoperative CA125 levels than the adenomyomectomy group for 24 months ( = 0.000). : This study suggests that single-port access laparoscopic fundusectomy is more effective in terms of operative time, estimated blood loss, and postoperative CA125 decrease than single-port access laparoscopic adenomyomectomy.
本研究旨在介绍一种新的手术技术——单孔腹腔镜子宫底切除术的临床经验，这是一种对无妊娠计划的子宫腺肌病患者更有效的保留子宫的手术方法。我们对141例患者进行了单孔腹腔镜子宫肌瘤切除术，对124例患者进行了单孔腹腔镜子宫底切除术，并比较了手术结果。两种手术方法的手术结果存在显著差异。子宫底切除术组的手术时间为158.19分钟（±42.93），子宫腺肌瘤切除术组为179.11分钟（±56.95）（P = 0.001）。子宫底切除术组的估计失血量为175.04毫升（±142.76），子宫腺肌瘤切除术组为347.97毫升（±409.78）（P = 0.000）。在24个月内，子宫底切除术组的子宫大小和体积较小，术后CA125水平低于子宫腺肌瘤切除术组（P = 0.000）。本研究表明，单孔腹腔镜子宫底切除术在手术时间、估计失血量和术后CA125降低方面比单孔腹腔镜子宫腺肌瘤切除术更有效。
