Application of gasless laparoendoscopic single site surgery in giant ovarian cysts
WANG Huihui1, CHEN Jiajia1, ZHANG Huiping1, ZHU Danyang1, ZHU Xueqiong2.
1.Department of Obstetrics and Gynecology,Huangyan Hospital Affiliated to Wenzhou Medical University, Taizhou 318020, China; 2.Department of Obstetrics and Gynecology, the Second Affiliated Hospital of Wenzhou Medical University, Wenzhou 325027, China
WANG Huihui,CHEN Jiajia,ZHANG Huiping, et al. Application of gasless laparoendoscopic single site surgery in giant ovarian cysts[J]. JOURNAL OF WEZHOU MEDICAL UNIVERSITY, 2024, 54(10): 817-822.
Abstract：Objective: To explore the feasibility and application value of gasless laparoendoscopic single site surgery for giant ovarian cysts. Methods: Clinical data of 51 patients who underwent surgery for giant ovarian cysts from Huangyan Hospital Affiliated to Wenzhou Medical University between January 2020 and December 2023 were retrospectively analyzed, from which 26 cases of gasless laparoendoscopic single site surgery for ovarian cysts (the study group) and 25 cases of traditional laparoscopic surgery for ovarian cysts (the control group) were enrolled in this study. A comparative analysis of the perioperative surgical outcomes, postoperative pain scores and complications was conducted on the two groups. Results: There was no statistically significant difference in hospitalization costs, postoperative length of stay and perioperative complications (P>0.05). In comparison with the control group, the study group exhibited superior perioperative efficacy, as evidenced by reduced operation time, first anal exhaust time and first off bed time as well as less intraoperative bleeding,significantly lower rate of intracapsular fluid leakage, and higher degree of satisfaction with the incision cosmetic (all P<0.05). Conclusion: With the advantages of short operation time, minimal bleeding, low rate of intracapsular fluid leakage, quick recovery, good cost-effectiveness, and enhanced aesthetic appearance, gasless laparoendoscopic single site surgery is a safe and effective procedure for treating giant ovarian cysts.
