Application of self-made approach in transumbilical laparoendoscopic single-site surgery for benign gynecological diseases

Abstract

ObjectiveTo evaluate the surgical effects of transumbilical laparoendoscopic single-site surgery (TU-LESS） through self-made approach channel versus traditional porous laparoscopic surgery(TPLS） in the patients with benign gynecological diseases(BGD). MethodsA total of 100 BGD patients admitted to Tangshan Union Medical College Hospital from January 2021 to May 2022 were retrospectively selected and divided into control group(receiving TPLS, n=50） and research group(receiving self-made approach channel TU-LESS, n=50). The following indicators were compared between two groups, including operation time, intraoperative bleeding volume, postoperative anal exhaust time, intraoperative and postoperative complications, postoperative VAS score at 24hours, the time to get out of bed after surgery, hospital stay and treatment costs. ResultsCompared with control group, postoperative VAS score and treatment cost significantly decreased, and the postoperative anal exhaust time, postoperative off-bed time and hospitalization time were significantly shortened in research group(P＜0.05). The intraoperative bleeding volume was below 120mL in both groups, but the amount of bleeding in research group was statistically more than that in control group (P＜0.05). There was no significant difference in the operation time and the incidence of postoperative complications between control group and research group(P>0.05). ConclusionIn the treatment of patients with benign gynecological diseases, the clinical application effect of self-made approach TU-LESS is definite and can effectively reduce the economic cost, improve postoperative recovery of patients.

Keywords

• transumbilical laparoendoscopic single-site surgery;
• traditional porous laparoscopic surgery
• benign gynecological diseases;
• gynecologic surgery