Analysis of 54 patients with gynecological benign lesions treated by transumbilical single-port laparoscopic surgery

  Objective  To explore the feasibility and safety of transumbilical single-port laparoscopic surgery in the treatment of benign gynecological lesions.

  Methods  The clinical data of 54 cases with benign gynecological benign lesions treated with transumbilical single-hole laparoscopic surgery from April to October 2018, and 46 cases with benign gynecological benign lesions in the same period treated by porous laparoscopic surgery were analyzed.

  Results  Fifty-four patients underwent transumbilical single-port laparoscopic surgeries successfully. There was no patient transferring to porous laparoscopic or open surgeries. The average operation time of unilateral salpingectomy was (32.31±13.48) min, the average operation time of removal of ovarian cysts was (47.62±15.86) min, the average operation time of uterine leiomyoma was (65.45±16.80) min, the average operation time of total hysterectomy was (94.00±15.17) min, the average operation time of unilateral attachment removal was (55.00±27.39) min. The operative time above in the transumbilical single-port laparoscopic surgery group showed no significant differences compared to the porous laparoscopic surgery group(P>0.05). There were no significant differences in the amount of bleeding, postoperative exhaust time, postoperative complications, total hospitalization costs(P>0.05). Postoperative satisfaction towards wound pain and appearance showed statistically significant differences.

  Conclusion  Transumbilical single-port laparoscopic surgery is feasible and is as safe as porous laparoscopic surgery. Transumbilical single-port laparoscopy is a better choice for young women with aesthetic requirements.