Two-port access versus four-port access laparoscopic ovarian cystectomy
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ObjectiveThis study was conducted to compare the surgical outcomes between two-port access and four-port accesslaparoscopic ovarian cystectomy. MethodsFour hundred and eighty nine patients who had received two-port access laparoscopic ovarian cystectomy (n=175)and four-port access laparoscopic ovarian cystectomy (n=314) in Chungnam National University Hospital from January2009 to August 2012 were analyzed retrospectively. The data were compared between the bilaterality of the cysts andcyst diameter of less than 6 cm and 6 cm or more. ResultsThere were no significant differences in patient's age, parity, body weight, body mass index and history of previoussurgery between the two-port and four-port access laparoscopy group. Bilaterality of ovarian cysts was more in fourportaccess laparoscopy group (13.7% vs. 32.5%, P=0.000). There were no significant differences in operation time,hemoglobin change, hospital stay, adhesiolysis, transfusion, and insertion of hemo-vac between the two-port andfour-port access laparoscopy group for size matched compare. However additional analgesics were more in four-portaccess laparoscopy group for unilateral ovarian cystectomy. ConclusionTwo-port access laparoscopic surgery was feasible and safe for unilateral and bilateral ovarian cystectomy comparewith four-port access laparoscopic surgery.
Abstract
ObjectiveThis study was conducted to compare the surgical outcomes between two-port access and four-port accesslaparoscopic ovarian cystectomy. MethodsFour hundred and eighty nine patients who had received two-port access laparoscopic ovarian cystectomy (n=175)and four-port access laparoscopic ovarian cystectomy (n=314) in Chungnam National University Hospital from January2009 to August 2012 were analyzed retrospectively. The data were compared between the bilaterality of the cysts andcyst diameter of less than 6 cm and 6 cm or more. ResultsThere were no significant differences in patient's age, parity, body weight, body mass index and history of previoussurgery between the two-port and four-port access laparoscopy group. Bilaterality of ovarian cysts was more in fourportaccess laparoscopy group (13.7% vs. 32.5%, P=0.000). There were no significant differences in operation time,hemoglobin change, hospital stay, adhesiolysis, transfusion, and insertion of hemo-vac between the two-port andfour-port access laparoscopy group for size matched compare. However additional analgesics were more in four-portaccess laparoscopy group for unilateral ovarian cystectomy. ConclusionTwo-port access laparoscopic surgery was feasible and safe for unilateral and bilateral ovarian cystectomy comparewith four-port access laparoscopic surgery.
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