A simple Gasless Single-port Laparoscopy suitable for use in middle- and
low-income countries or primary hospitals
Abstract
Study Objective: To explore the effectiveness of a modified suspension
method combined with Gasless single-port laparoscopy (MS-GSPL) for the
treatment of benign ovarian tumors. The aim of this approach is to
provide a convenient, economical,and minimally invasive method that is
suitable for widespread use, even in middle- and low-income countries or
primary hospitals. Design: A retrospective comparative study. Setting:
University teaching hospital. Patients: Thirty-six cases were treated
with MS-GSPL, and thirty-six cases were treated with single-port
laparoscopy (SPL). Interventions: Use a modified suspension method
combined with Gasless single-port laparoscopy for the treatment of
benign ovarian tumors. Measurements and Main Results: There are no
significant differences in age, body mass index,previous pelvic surgery,
tumor diameter ,and tumor pathologic outcomes between MS-GSPL group and
SPL group.The median operation times were 50(Q1~Q3 ,
44~62.25)min in the MS-GSPL group and
60.5(Q1~Q3 , 57.25~78)min in the SPL
group with a significant difference. The median estimated blood loss
were 40 (Q1~Q3 , 30~50)ml in the MS-GSPL
group and 50(Q1~Q3 , 30~60) ml in the
SPL group with no significant difference. Compared with SPL group,
patients in MS-GSPL group had earlier postoperative exhaust times,
shorter hospital stays and lower costs, and all these differences were
statistically significant(P<0.05). There was a strong positive
correlation between operation time and BMI in the MS-GSPL groups.
Conclusion: The patients receiving MS-GSPL treatment have quick
postoperative recoveries. MS-GSPL is a novel, safe and economical
surgical method that is suitable for extensive clinical development in
middle- and low-income countries or primary hospitals.