Clinical application of single-port laparoscopy in gynecologic surgery via abdominal scar approach

MIAO Miao; WANG Yina; CHEN Jiming

doi:10.3969/j.issn.1674-3806.2024.06.07

Abstract：Objective To explore the feasibility and safety of single-port laparoscopic surgery via abdominal scar approach in treatment of gynecologic disorders.Methods The clinical data of 26 patients who underwent single-port laparoscopic surgery via abdominal scar approach in Department of Gynecology,Changzhou No.2 People's Hospital,the Affiliated Hospital of Nanjing Medical University from August 2019 to January 2024 were retrospectively analyzed,and the patients'intraoperative situation and postoperative situation were summarized and analyzed.Results The gynecologic operations performed by using single-port laparoscopy via abdominal scar approach were successfully completed in all the 26 cases.No surgical approaches were changed during the operations in the patients,and no serious complications occurred after the operations,and the patients recovered well.The operative time was 50-165(88.85±37.18)minutes,and the intraoperative blood loss was 10.00(10.00,45.00)milliliters,and the value of the decrease in hemoglobin was 10.50(6.00,16.50)g/L,and the postoperative hospitalization time was 3-8(5.69±1.23)days,and the total hospital-ization costs were 16 675-32 802(23 068.63±4 199.00)Chinese Yuan.Conclusion Single-port laparoscopic surgery via abdominal scar approach is safe and feasible to treat some specific gynecologic disorders in some specific patients,and has relatively good minimally invasive and cosmetic advantages.