Clinical analysis of single-port transumbilical laparoscopic hysterectomy in patients with moderate to severe pelvic adhesions
ZHOU Jinjin
LIU Haiyan
LIAN Xiaolu
Abstract：Objective To evaluate the clinical feasibility and safety of transumbilical single-port laparoscopic hysterectomy in patients with moderate to severe pelvic adhesions.Methods A retrospective analysis was conducted on the medical records of patients who underwent transumbilical single-port laparoscopic total hysterectomy with or without bilateral salpingo-oophorectomy at the Affiliated Hospital ofYangzhou University from June 2019 to December 2023.The primary diagnoses included uterine fibroids,adenomyosis,endometriosis and benign ovarian tumors,all complicated by moderate to severe pelvic adhesions.For comparison,a control group was selected comprising patients who underwent traditional multi-port laparoscopic total hysterectomy with or without bilateral salpingo-oophorectomy of similar conditions.The clinical outcomes of both groups were systematically compared and analyzed.Results In the single-port laparoscopy group the surgeries were successfully completed,without serious complications,transfer laparotomy or serious infection,and all patients were discharged as scheduled.The length of hospitalization,postoperative ventilation duration and the proportion of drain placement in the single-port laparoscopy group were lower than those in the multi-port laparoscopy group(P＜0.05).There were no significant statistical differences observed in intraoperative bleeding,postoperative hemoglobin value,conventional white blood cells,neutrophil ratio,hypersensitive C-reactive protein,coagulation function or adhesion score(P＞0.05).Conclusion A comprehensive preoperative evaluation of patients should be conducted,and surgical indications must be strictly adhered to.Transumbilical single-port laparoscopy is utilized for the treatment of patients with large uterus complicated by moderate to severe pelvic adhesions.This procedure has been demonstrated to be safe and feasible,with rapid postoperative recovery and a shortened hospital stay.
Keywords：ransumbilical single-hole laparoscopylarge uterustotal hysterectomypelvic adhesion
Publication Date：2024-12-20
Online Publishing Date：2026-01-26(First online date of this platform, not the publication date of the document)
Pages：7( 35-40,45 )