Clinical Report: Comparative Analysis of Clinical and Cosmetic Results in Transumbilical Single-Port versus Multi-Port Laparoscopic Ovarian Cystectomy
Overview
This study compares clinical outcomes and aesthetic satisfaction between transumbilical single-port laparoscopic cystectomy (SP-LC) and traditional multi-port laparoscopic cystectomy (MPL).
Background
Ovarian cysts are common among women of reproductive age and may necessitate surgical intervention. Laparoscopic ovarian cystectomy is preferred due to its minimally invasive nature, but traditional multi-port techniques can lead to increased postoperative pain and less favorable cosmetic results. The emergence of single-port laparoscopic techniques aims to address these concerns while maintaining safety and efficacy.
Data Highlights
Parameter
SP-LC
MPL
P-value
Intraoperative Blood Loss (mL)
43.06 ± 11.79
48.12 ± 12.85
0.014
First Exhaust (h)
15.82 ± 5.21
18.47 ± 5.74
0.004
Ambulation (h)
13.89 ± 3.17
15.63 ± 3.51
0.002
Hospital Stay (days)
3.94 ± 0.85
4.31 ± 0.92
0.011
Overall Complication Rate (%)
11.59
25.93
0.027
Key Findings
SP-LC resulted in less intraoperative blood loss compared to MPL (43.06 mL vs. 48.12 mL, P = 0.014).
Patients in the SP-LC group experienced earlier first exhaust (15.82 h vs. 18.47 h, P = 0.004) and earlier ambulation (13.89 h vs. 15.63 h, P = 0.002).
The length of hospital stay was shorter for SP-LC patients (3.94 days vs. 4.31 days, P = 0.011).
Lower pain scores were reported in the SP-LC group at both 24 and 72 hours postoperatively (P < 0.001).
The overall complication rate was significantly lower in the SP-LC group (11.59% vs. 25.93%, P = 0.027).
Aesthetic satisfaction was higher in the SP-LC group at discharge (P = 0.006) and PSAS scores were lower at 1 and 3 months postoperatively (P = 0.002 and P = 0.003).
Clinical Implications
The findings provide insights into the clinical outcomes of transumbilical single-port laparoscopic cystectomy compared to traditional multi-port techniques.
Conclusion
Transumbilical single-port laparoscopic ovarian cystectomy is associated with various clinical outcomes compared to traditional multi-port techniques.
Patients with preoperative vitamin D deficiency had higher postoperative pain scores and opioid use after mastectomy, including more than triple the odds of moderate to severe pain within 24 hours of surgery.
