Abstract:
Objective To evaluate the feasibility and clinical advantages of "bowl drawing" hysterectomy in single and multi-port laparoscopy.
Methods From Mar. 2016 to Jun. 2021, 311 patients with benign diseases were prospectively included in the present study. All total laparoscopic hysterectomy (TLH) were performed by one surgeon for uniformity. After intraoperative exploration, the eligible patients were operated following a fixed procedure like drawing a simple bowl, including 3 points: a moderate size, one stroke to the end and from side to side. Surgical principles follow "one center task and two basic points" . All patients were followed up at 1 and 3 months after operation. The perioperative and follow-up data were recorded. A total of 215 patients were enrolled, including 114 cases of multi-port TLH and 101 cases of single port TLH.
Results All patients underwent "bowl drawing" TLH without major complications. There was no significant difference in general data, intraoperative bleeding, hospital stay and postoperative complications between the two groups. The average operation time was(83.6 ± 22.6)min in the multi-port TLH group and(98.1 ± 22.6) min in the single port TLH (P<0.05).
Conclusions "bowl drawing" TLH is safe and efficient. It is suitable for both multi-port and single port TLH.
Key words:
Total laparoscopic hysterectomy,
Transumbilical laparoendoscopic single site laparoscopy,
"Bowl drawing" hysterectomy
Yingdi He, Yulin Zhang, Junying Tang, Yao Gong. The clinical efficacy of "bowl drawing" hysterectomy in single and multi-port laparoscopy[J]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2022, 15(01): 46-50.