Accessibility and surgical outcomes of transumbilical single-port laparoscopy using straight instruments for hysterectomy in difficult conditions
| Autor: | Pei-Ju Wu, Kai-Yun Wu, Chih-Feng Yen, Chen-Ying Huang, Chien-Min Han, Chyi-Long Lee, Hsuan Su, Chin-Jung Wang |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Adult
medicine.medical_specialty medicine.medical_treatment Operative Time Blood Loss Surgical Uterus Single-port laparoscopy lcsh:Gynecology and obstetrics Postoperative Complications Port (medical) Obstetrics and Gynaecology medicine Humans Prospective Studies hysterectomy Prospective cohort study Laparoscopy lcsh:RG1-991 Uterine Diseases Hysterectomy medicine.diagnostic_test laparoendoscopic single-site (LESS) surgery business.industry General surgery Obstetrics and Gynecology Organ Size Length of Stay Middle Aged Surgery Treatment Outcome medicine.anatomical_structure Feasibility Studies Operative time Female single-port laparoscopy business Body mass index |
| Zdroj: | Taiwanese Journal of Obstetrics & Gynecology, Vol 53, Iss 4, Pp 471-475 (2014) |
| ISSN: | 1028-4559 |
| DOI: | 10.1016/j.tjog.2014.08.002 |
| Popis: | Objectives: To evaluate the accessibility of transumbilical single-port laparoscopy for hysterectomy in difficult conditions. Materials and methods: This prospective observational study recruited patients with benign diseases who were scheduled for laparoscopic hysterectomy between March 2010 and October 2011 to undergo the transumbilical single-port approach with straight instruments and a laparoscope. Results: In total, 109 patients were included with a mean [± standard error of the mean (SEM)] age of 45.9 ± 0.4 years and mean body mass index of 23.9 ± 0.3 kg/m2. The yielded mean uterine weight was 403.4 ± 25.3 g, with 28 (25.7%) weighing ≥500 g, including four specimens >1000 g, and 44 (40.4%) needed concurrent adhesiolysis. The operative time was 117.2 ± 4.2 minutes, estimated blood loss was 270.3 ± 22.9 mL, and the postoperative hospital stay was 2.8 ± 0.1 days. Patients with a uterus weighing ≥500 g had a higher intraoperative blood loss in comparison with those with a uterus weighing |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|