Abstract
Objective
To demonstrate the feasibility of minimally invasive surgery using a novel optical
device to treat large benign ovarian cysts and to compare the safety of the procedure
with that of conventional laparoscopically assisted multiport extracorporeal cystectomy.
Study design
Twenty-one patients with large benign ovarian cysts underwent laparoscopically assisted
extracorporeal ovarian cystectomy via a single suprapubic incision using a novel 10-mm
rigid laparoscope with an adjustable direction of view and a multiport device, between
October 2010 and July 2012. The surgical outcomes were retrospectively compared between
these patients (Group A) and 32 patients who underwent the conventional 3-port laparoscopically
assisted extracorporeal procedure between January 2009 and September 2010 (Group B).
Data were statistically analyzed using the Mann–Whitney U-test or Fisher's exact test.
Results
None of Group A required conversion to conventional multiport laparoscopy. The total
duration of surgery, elapsed time between skin incision and the start of pneumoperitoneum,
and time required for intra- and extra-corporeal manipulations did not significantly
differ between the groups. The time required for skin closure, however, was significantly
decreased in Group A compared with Group B (13.0 ± 3.5 vs. 20.2 ± 4.8 min, P = 0.005). The volume of blood loss and postoperative blood findings were similar to
those associated with the conventional procedure. Postoperative visual analog pain
scales at 3 h were significantly lower in Group A than in Group B (3.7 ± 2.6 vs. 4.8 ± 2.0, P = 0.04). Postoperative complications did not arise after either procedure.
Conclusion
Laparoscopically assisted extracorporeal cystectomy via a single suprapubic incision
is a feasible and safe alternative to conventional multiport cystectomy for treating
large benign ovarian cysts.
Keywords
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Article info
Publication history
Published online: January 17, 2013
Accepted:
December 31,
2012
Received in revised form:
October 23,
2012
Received:
January 5,
2012
Identification
Copyright
© 2013 Elsevier Ireland Ltd. Published by Elsevier Inc. All rights reserved.
