Laparoscopic, minilaparoscopic and single-port hysterectomy: perioperative outcomes |
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| Authors: | Francesco Fanfani Anna Fagotti Cristiano Rossitto Maria Lucia Gagliardi Alfredo Ercoli Valerio Gallotta Salvatore Gueli Alletti Giorgia Monterossi Luigi Carlo Turco Giovanni Scambia |
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| Affiliation: | 1. Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Catholic University of the Sacred Heart, L.go A. Gemelli 8, 00168, Rome, Italy
2. Department of Gynecology and Obstetrics, Abano Terme General Hospital, Presidio Ospedaliero Regione Veneto, Padova, Italy
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| Abstract: | Objective This study was designed to compare perioperative outcomes and postoperative pain of standard laparoscopic (S-LPS), minilaparoscopic (M-LPS), and laparoendoscopic single-site (LESS) hysterectomy. Methods A single-institutional, matched, retrospective, cohort study was performed. Between May 2010 and March 2011, 85 consecutive women were submitted to a total laparoscopic hysterectomy by S-LPS, M-LPS, and single-port LESS. Perioperative outcomes of these three techniques were analyzed and compared. Results Demographics and baseline characteristics of each group were absolutely comparable. The median operative time was longer [105 (range, 75?C125) min] in the LESS group compared with the M-LPS group [90 (range, 60?C120) min; p?p?Conclusions M-LPS and LESS hysterectomy can be performed safely, and both seem to be associated with a halving of early postoperative pain with a lower request of analgesics. |
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