Comparison of the application of conventional transumbilical laparoendoscopic single site and robotic transumbilical laparoendoscopic single site in myomectomy

doi:10.3877/cma.j.issn.1674-6899.2021.03.007

Abstract

Abstract:

Objective

To discuss the application of conventional Transumbilical Laparoendoscopic Single site Surgery and Robotic Transumbilical Laparoendoscopic Single site Surgery in myomectomy, and compare their advantages and disadvantages.

Methods

The clinical data were retrospectively analyzed of 39 patients with conventional TU-LESS myomectomy from Nov. 2019 to Nov. 2020 and 8 patients with R-TU-LESS myomectomy from Apr. to Nov. 2020 in the Affiliated Hospital of Nantong University, and the preoperative, intraoperative and postoperative relevant indicators were compared.

Results

All the 47 patients completed the operation successfully, and there was no conversion to laparotomy during the operation, and there was no damage to adjacent organs.There was no statistical significance in the increase of auxiliary hole rate, drainage placement rate, blood loss, operation time, exhaust time and discharge time between the TU-LESS group and the R-TU-LESS group (P>0.05). The median VAS scores of the TU-LESS group and the R-TU-LESS group were 2 points (2-3 points) and 1 point (1-2 points) respectively (Z=2.930, P=0.003), and the median CS scores were 22 points (22-23 points) and 21 points (20-22 points) respectively (Z=2.404, P=0.016), the differences were statistically significant (P<0.05).

Conclusions

Both TU-LESS and R-TU-LESS are suitable for myomectomy.Both of them have their own advantages and should be selected according to the patient′s condition and economic situation.

Key words: Conventional transumbilical laparoendoscopic single site surgery, Robotic transumbilical laparoendoscopic single site surgery, Myomectomy

Beibei Jin, Yuquan Zhang, Ji Li, Sainan Gao, Chunyu Zhu, Xiaoying Ding, Xiaoqing Yang. Comparison of the application of conventional transumbilical laparoendoscopic single site and robotic transumbilical laparoendoscopic single site in myomectomy[J]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2021, 14(03): 163-167.

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手术方式	例数	年龄(岁)	体质量指数(kg/m²)	瘤体直径(cm)
TU-LESS	39	38.51±9.37	22.54±3.59	4.78±2.16
R-TU-LESS	8	36.75±5.75	20.97±2.83	6.25±1.58
t值		0.510	1.158	-1.817
P值		0.612	0.253	0.076

手术方式	例数	年龄(岁)	体质量指数(kg/m²)	瘤体直径(cm)
TU-LESS	39	38.51±9.37	22.54±3.59	4.78±2.16
R-TU-LESS	8	36.75±5.75	20.97±2.83	6.25±1.58
t值		0.510	1.158	-1.817
P值		0.612	0.253	0.076

手术方式	例数	增加辅助孔[例(%)]	放置引流[例(%)]	术中出血量(ml， ±s)	手术时间(min， ±s)
TU-LESS	39	2(5.13)	14(35.90)	31.67±34.32	125.64±47.88
R-TU-LESS	8	0(0.00)	1(12.50)	37.50±29.16	141.25±25.18
t/χ²值		-	0.769	-0.448	-0.892
P值		>0.999^a	0.381^b	0.657	0.377

手术方式	例数	增加辅助孔[例(%)]	放置引流[例(%)]	术中出血量(ml， ±s)	手术时间(min， ±s)
TU-LESS	39	2(5.13)	14(35.90)	31.67±34.32	125.64±47.88
R-TU-LESS	8	0(0.00)	1(12.50)	37.50±29.16	141.25±25.18
t/χ²值		-	0.769	-0.448	-0.892
P值		>0.999^a	0.381^b	0.657	0.377

手术方式	例数	排气时间(d)	出院时间(d)	术后12 h VAS(分)	术后CS(分)
TU-LESS	39	2(2，2)	3(2，3)	2(2，3)	22(22，23)
R-TU-LESS	8	2(2，3)	3(2，3)	1(1，2)	21(20，22)
Z值		0.792	0.341	2.930	2.404
P值		0.429	0.733	0.003	0.016

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