Clinical report of single-site laparoendoscopic adenomyomectomy

doi:10.3877/cma.j.issn.1674-6899.2020.04.010

Abstract

Abstract:

Objective

To explore the feasibility and safety of single-site laparoendoscopic adenomyomectomy.

Methods

We retrospectively reviewed the clinical data of 7 patients undergoing single-site laparoendoscopic adenomyomectomy combined with metroplasty in the department of Gynecology, the Affiliated Changzhou No.2 People′s Hospital of Nanjing Medical University from Mar.2018 to Jun.2020.

Results

All the 7 cases of laparoendoscopic adenomyomectomy were successful, none of them were transferred to laparotomy, no other port incision was needed. The patients all recovered well and were plesaed with the esthetic effect . Follow-up after discharge showed that the patient′s menstrual volume was significantly reduced, dysmenorrhea symptoms were significantly improved, and the quality of life was significantly improved.

Conclusions

Under the indication range, single-site laparoendoscopic adenomyomectomy may be safe and feasible for appropriate patients.

Key words: Laparoendoscopic single-site surgery, Adenomyosis, Uterine metroplasty

Mingyue Bao, Zhenyue Qin, Jiming Chen, Zhiyong Dong, Huihui Wang, Ying Cao, Huichao Xiao, Yafeng Zheng, Yunfen Jiang, Ruxia Shi. Clinical report of single-site laparoendoscopic adenomyomectomy[J]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2020, 13(04): 239-243.

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URL: https://zhqjwkzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-6899.2020.04.010

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References 14

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序号	年龄(岁)	体质量指数(kg/m²)	手术时间(min)	术中出血量(ml)	术后住院时间(d)	术后切口美容评分(分)	合并症	并发症
1	39	18.87	115	50	5	21	宫颈赘生物	无
2	42	21.38	175	100	6	19	无	无
3	42	23.50	375	400	6	23	子宫内膜息肉	无
4	42	23.70	260	50	7	23	子宫肌瘤，卵巢囊肿，输卵管系膜囊肿，盆腔子宫内膜异位症	小肠损伤
5	47	21.48	140	50	6	22	子宫肌瘤输卵管系膜囊肿	阴道壁损伤
6	50	24.17	125	10	5	20	贫血	无
7	50	27.14	185	10	5	23	子宫肌瘤	无

序号	年龄(岁)	体质量指数(kg/m²)	手术时间(min)	术中出血量(ml)	术后住院时间(d)	术后切口美容评分(分)	合并症	并发症
1	39	18.87	115	50	5	21	宫颈赘生物	无
2	42	21.38	175	100	6	19	无	无
3	42	23.50	375	400	6	23	子宫内膜息肉	无
4	42	23.70	260	50	7	23	子宫肌瘤，卵巢囊肿，输卵管系膜囊肿，盆腔子宫内膜异位症	小肠损伤
5	47	21.48	140	50	6	22	子宫肌瘤输卵管系膜囊肿	阴道壁损伤
6	50	24.17	125	10	5	20	贫血	无
7	50	27.14	185	10	5	23	子宫肌瘤	无

项目	PBAC评分	VAS评分	生存质量评分
术前	186.67±55.02	6.33±0.82	54.83±9.02
术后	43.33±10.33	1.83±0.75	91.00±5.25
t值	6.800	13.175	-6.932
P值	0.001	<0.000	<0.001

项目	PBAC评分	VAS评分	生存质量评分
术前	186.67±55.02	6.33±0.82	54.83±9.02
术后	43.33±10.33	1.83±0.75	91.00±5.25
t值	6.800	13.175	-6.932
P值	0.001	<0.000	<0.001

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