Comparison of clinical efficacy of gasless vaginal natural orififice transluminal endoscopic surgery and traditional laparoscopy surgery for ovarian cyst

doi:10.3877/cma.j.issn.1674-6899.2021.04.005

Abstract

Abstract:

Objective

To compare the efficacy of gasless vaginal natural orififice transluminal endoscopic surgery and traditional laparoscopy in the treatment of ovarian cysts.

Methods

52 patients with ovarian cyst admitted to the Fourth People′s Hospital of Shenyang from Jan. 2018 to Dec. 2020 were analyzed retrospectively. They were divided into gasless V-NOTES group and traditional laparoscopy group.There were 21 cases in gasless V-NOTES group and 31 cases in traditional laparoscopy group. The operation time, intraoperative bleeding, average peak body temperature, hospitalization expenses, postoperative exhaust time, hospitalization time, postoperative pain score of 1 day were compared between the two groups.

Results

There was no significant difference between gasless V-NOTES group and traditional laparoscopy group in operative time, intraoperative bleeding, average peak body temperature and hospitalization expenses (P> 0.05) . The postoperative exhaust time and hospitalization time in gasless V-NOTES group were shorter than those in traditional laparoscopic group, and the postoperative pain score was lower than that in traditional laparoscopic group (P<0.05) .

Conclusions

Gasless V-NOTES is safe and feasible in the treatment of ovarian cyst.

Key words: Gasless, Vaginal natural orififice transluminal endoscopic surgery, Laparoscopic surgery, Ovarian cyst

Sirao Qu, Manman Zhao, Quanhong Li, Fang Li, Jingjing Ma, Yinan Zhang, Siran Jing, Jianli Sun. Comparison of clinical efficacy of gasless vaginal natural orififice transluminal endoscopic surgery and traditional laparoscopy surgery for ovarian cyst[J]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2021, 14(04): 217-220.

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Figures/Tables 8

References 19

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组别	例数	手术时间(min)	术中出血量(ml)	术后峰值体温(℃)	住院费用(元)
无气腹V-NOTES组	21	57.32±3.43	33.46±8.26	37.28±0.32	18 431.09±823.30
传统腹腔镜组	31	56.08±2.53	33.04±9.42	37.09±0.41	18 828.05±698.55
t值		1.301	0.150	1.634	1.644
P值		0.201	0.882	0.111	0.108

组别	例数	手术时间(min)	术中出血量(ml)	术后峰值体温(℃)	住院费用(元)
无气腹V-NOTES组	21	57.32±3.43	33.46±8.26	37.28±0.32	18 431.09±823.30
传统腹腔镜组	31	56.08±2.53	33.04±9.42	37.09±0.41	18 828.05±698.55
t值		1.301	0.150	1.634	1.644
P值		0.201	0.882	0.111	0.108

组别	例数	术后排气时间(h)	住院时间(d)	VAS评分(分)
无气腹V-NOTES组	21	19.51±3.86	3.17±0.35	2.65±0.98
传统腹腔镜组	31	29.48±3.75	4.32±0.59	4.50±1.20
t值		8.285	7.497	5.340
P值		<0.001	<0.001	<0.001

组别	例数	术后排气时间(h)	住院时间(d)	VAS评分(分)
无气腹V-NOTES组	21	19.51±3.86	3.17±0.35	2.65±0.98
传统腹腔镜组	31	29.48±3.75	4.32±0.59	4.50±1.20
t值		8.285	7.497	5.340
P值		<0.001	<0.001	<0.001

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