Single-incision laparoscopic surgery without access platform using conventional laparoscopic instruments versus multi-port laparoscopic surgery for tubal pregnancy
Objective To investigate the feasibility and safety of transumbilical single-incision laparoscopy without an ac-cess platform in the treatment of tubal pregnancy.Methods A total of 196 patients with tubal pregnancy undergoing tubectomy were included in this retrospective cohort study.The patients were divided into three groups according to the different surgical methods,including transumbilical single-incision laparoscopy group without an access platform(group A,n=66),transumbili-cal single-port laparoscopy group(group B,n=60),and traditional laparoscopy group(group C,n=70).The operative dura-tion,intraoperative bleeding volume,postoperative flatus time,postoperative hospital stay,postoperative 24-hour incision pain VAS score,postoperative 1-month incision cosmetic satisfaction score,and intraoperative and postoperative complications were compared among the three groups.Results The operation was successfully conducted on all patients in the three groups.There was no statistically significant difference in the comparison of operative duration,intraoperative blood loss,postoperative flatus time,postoperative hospital stay,and VAS scores of incision pain 24 hours after operation among groups A,B,and C.The cos-metic satisfaction score of incision one year after the operation had no significant difference between groups A and B,while there were significant differences between group C and group A,and between group C and group B.Further comparative analysis of the operative duration by surgeons of different grades in the group A showed no significant difference in the operative duration a-mong physicians of different grades in the three groups.Conclusion Single-incision laparoscopic surgery without an access plat-form using conventional laparoscopic instruments for tubal pregnancy is safe,feasible and achieves comparable cosmetic result to transumbilical single-port laparoscopy,which is worth promoting in county-level hospitals.
万方数据
维普
