To explore the feasibility of ovarian cystectomy with modified single-port laparoscopy in primary medical conjoined hospitals.

A total of 86 patients who underwent ovarian cystectomy from Jan. 2018 to Nov. 2019 were randomly divided into modified single-port laparoscopy group and traditional laparoscopy group. The indexes of patients were analyzed and compared, including operation time, blood loss, length of hospital stay, the time of first anal exhaust after operation, VAS score, cosmetic satisfaction after operation, hospitalization cost and postoperative inflammation index.

The operation was successfully completed in both groups, there was no conversion to laparotomy, and there were no related complications after operation. There was no significant difference in total operation time, intraoperative blood loss and hospitalization cost between the two groups (P> 0.05). Compared with the traditional group, the modified single-port group needed longer time to remove ovarian cyst and suture ovary, but the time of collecting samples was shorter. The hospital stay, postoperative anal exhaust time and VAS score in the modified single-port group were lower than those in the traditional group, and the cosmetic satisfaction of the abdominal wound in the modified single-port group was significantly higher than that in the traditional group (P< 0.05). The percentage of white blood cells and hypersensitive C-reactive protein (hs-CRP) increased after operation in the modified single-hole group was lower than that in the traditional group, and the difference was statistically significant (P< 0.05).

Ovarian cystectomy with modified single-port laparoscopy is safe and feasible in conjoined hospitals.