Single-port compared with conventional laparoscopic ovarian cystectomy for benign ovarian cysts: a systematic review and meta-analysis - Report - MDSpire

Single-port compared with conventional laparoscopic ovarian cystectomy for benign ovarian cysts: a systematic review and meta-analysis

  • By

  • Yuhao Zhu

  • Rong Tang

  • Lingli Hu

  • Yupei Lei

  • Weimin Xie

  • June 9, 2026

  • 0 min

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Clinical Report: Comparison of Single-Port Laparoscopic Ovarian Cystectomy and Traditional Laparoscopic Approach

Overview

This systematic review and meta-analysis evaluates the safety and impact on ovarian reserve of single-port laparoscopic cystectomy (SLC) compared to conventional laparoscopic cystectomy (CLC) for benign ovarian cysts.

Background

Ovarian cysts are prevalent among women of childbearing age, and surgical management is often necessary for symptomatic benign cysts. Laparoscopic techniques, particularly SLC, have emerged as alternatives to traditional methods.

Data Highlights

OutcomeSLCCLCP-value
Intraoperative complicationsNot significantNot significant0.50
Postoperative complicationsNot significantNot significant0.49
Postoperative AMH changeNot significantNot significant0.06
Estimated blood lossNot significantNot significant0.99
Hemoglobin lossNot significantNot significant0.76
Time to flatusNot significantNot significant0.68
Length of hospital stayNot significantNot significant0.17
Analgesic useNot significantNot significant0.91
Postoperative pain scores at 24 hoursLowerHigher0.02
Operative timeLongerShorter0.001

Key Findings

  • No significant differences in intraoperative complications between SLC and CLC (P = 0.50).
  • Postoperative complications were similar for both techniques (P = 0.49).
  • Changes in serum AMH concentration postoperatively were not significantly different (P = 0.06).
  • SLC resulted in lower postoperative pain scores at 24 hours (P = 0.02).
  • Operative time was significantly longer for SLC compared to CLC (P = 0.001).

Clinical Implications

The findings indicate that SLC is associated with lower postoperative pain but longer operative time.

Conclusion

This review indicates that SLC does not significantly differ from CLC in most outcomes.

Related Resources & Content

  1. Frontiers in Oncology, 2026 -- Single-port compared with conventional laparoscopic ovarian cystectomy for benign ovarian cysts: A systematic review and meta-analysis
  2. Frontiers in Surgery — Port-site metastases after diagnostic laparoscopy in advanced ovarian cancer: a case report and a systematic review of the literature
  3. Surgical Endoscopy — Comparative Analysis of Single-Port Laparoscopic Appendectomy and Traditional Three-Port Technique: A Systematic Review and Meta-Analysis of Randomized Trials
  4. Comparison of Single-Incision Plus One-Port Laparoscopic Surgery and Traditional Multi-Port Laparoscopic Surgery for Colorectal Cancer: A Systematic Review and Meta-Analysis
  5. Hernia — Comparison of Meta-Analysis and Nationwide Cohort Study on Single-Incision Port-Site Herniation
  6. Ovarian Cysts in Postmenopausal Women (Green-top Guideline No. 34) | RCOG
  7. Frontiers | Single-port compared with conventional laparoscopic ovarian cystectomy for benign ovarian cysts: A systematic review and meta-analysis
  8. Laparoendoscopic Single-Site Surgery Versus Conventional Laparoscopic Surgery in Ovarian Cystectomy: A Meta-Analysis | MDPI
  9. Comparison of ovarian reserve after laparoscopic cystectomy in patients with ovarian endometriosis differ in cyst size: A systematic review and meta-analysis - PubMed

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