Abstract
Objective
To compare the surgical outcomes of single-port laparoscopic salpingectomy (SPLS)
and conventional laparoscopic salpingectomy for the surgical treatment of tubal pregnancy.
Study design
From January to June 2009, patients with tubal pregnancy were assigned to two surgical
groups: SPLS and conventional laparoscopic salpingectomy. Surgical outcomes, including
operative time, postoperative haemoglobin drop, hospital stay and complications, were
compared prospectively. For SPLS, a novel multichannel port was made using a wound
retractor and a surgical glove.
Results
In total, 60 patients were enrolled in the study (30 in the SPLS group and 30 in the
conventional group). All operations were completed successfully. No significant difference
was observed between the two groups in terms of mean operative time (52.6 ± 16.1 min vs 46.8 ± 16.2 min; p = 0.174), mean difference between pre- and postoperative haemoglobin (1.7 ± 0.8 g/dl vs 1.8 ± 1.0 g/dl; p = 0.636), or mean postoperative hospital stay (2.4 ± 0.5 days vs 2.4 ± 0.9 days; p = 1.000). No complications were encountered in either group, and there was no conversion
to conventional laparoscopy in the SPLS group.
Conclusion
SPLS has comparable surgical outcomes to conventional laparoscopic salpingectomy for
the surgical treatment of tubal pregnancy in terms of operative time, hospital stay
and complication rates. However, further studies are needed to evaluate the merits
expected of single-port laparoscopic surgery, such as cosmetic advantage and decreased
pain in patients.
Keywords
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Article info
Publication history
Published online: June 27, 2011
Accepted:
June 9,
2011
Received in revised form:
February 22,
2011
Received:
June 9,
2010
Identification
Copyright
© 2011 Elsevier Ireland Ltd. Published by Elsevier Inc. All rights reserved.
