To explore the effect of abdominal wall suture forcep assisted LESS in ovarian cystectomy.

Retrospectively collected the clinical data of 145 patients who underwent minimally invasive ovarian cystectomy at Qingdao Women and Children′s Hospital Affiliated to Qingdao University from Jan. 2018 to Feb. 2019.50 of them underwent abdominal wall suture forcep assisted LESS in ovarian cystectomy(the abdominal wall suture forcep assisted LESS group), 45 of them underwent LESS in ovarian cystectomy(the LESS group), and 50 of them underwent muiti-port laparoscopic surgery in ovarian cystectomy(the multi-port group). The general data, intraoperative indicators, postoperative indicators and perioperative complication were compared in the three groups.

The operation time of the three groups was [(53.3±6.5)min vs (70.8±6.6)min vs (52.3±6.2) min]. The operation time of the abdominal wall suture forcep assisted LESS group was shorter than the LESS group and the difference was statistically significant (P<0.001) .The difference between the abdominal wall suture foecep assisted LESS group and the multi-port group was no statistically significant(P>0.05). The hospital cost of the three groups was [(11 850.7±142.2)RMB vs (12 934.6±138.9)RMB vs (11 883.1±131.9)RMB]. The hospital cost of the abdominal wall suture forcep assisted LESS group was lower than the LESS group and the difference was statistically significant (P<0.001). The difference between the abdominal wall suture forcep assisted LESS group and the multi-port group was no statistically significant (P>0.05). The VAS at 24 hour after surgery of the three groups was [(2.0±0.8) vs (1.9±0.7) vs (2.5±0.8)]. The VAS at 24 hour after surgery of the abdominal wall suture forcep assisted LESS group was lower than the multi-port group and the difference was statistically significant (P<0.001). The difference between the abdominal wall suture forcep assisted LESS group and the LESS group was no statistically significant(P>0.05). The CS at 1 month after surgery of the three groups was [(21.1±0.9) vs (21.1±0.9) vs (17.5±0.6)]. The CS at 1 month after surgery of the abdominal wall suture forcep assisted LESS group was higher than the multi-port group and the difference was statistically significant (P<0.001). The difference between the abdominal wall suture forcep assisted LESS group and the LESS group was no statistically significant (P>0.999). The difference of the intraoperative blood loss, the postoperative anal exhaust time, the postoperative hospital stay, the BIS at 1 month after surgery and the rate of perioperative complication in the three groups was no statistically significant.

The abdominal wall suture forcep assisted LESS in ovarian cystectomy is safe and feasible. Compared with the LESS in ovarian cystectomy, it has the advantages of shorter operation time and lower hospital cost. Compared with the muiti-port laparoscopic surgery in ovarian cystectomy, it has the advantages of relieving pain and aesthetics. It can be promoted as an economical surgery method in basic hospitals.