Laparoscopic single-port versus minilaparoscopic histerectomy: an International Study.

Objectives: laparoendoscopic single-site surgery (LESS) and mini-laparoscopic surgery (Mini-LPS) have been carried out with comparable results to conventional laparoscopy. However, there is scarce data on comparison between them. Our main objective was to compare LESS and Mini-LPS in terms of surgical time, postoperative pain and hospital stay in patients undergoing simple hysterectomy for a benign condition. Design: this is a retrospective international multicentric study carried out in two Spanish and three Italian centers. Data from 161 patients operated for hysterectomy for a benign condition were collected between January 1st, 2010 and December 31st, 2015. 104 (64.6%) patients were operated by LESS and 57 (35.4%) by Mini-LPS. Methods: we collected patients ´ clinic-pathologic characteristics and perioperative outcomes. The main variables of the study were surgical time, time to oral analgesia and the hospital stay. The two comparison groups in the study included patients operated for hysterectomy for a benign condition by LESS or Mini-LPS. The decisi on to perform the type of procedure was at surgeon´s discretion, mainly based on surgical skills and experience of the center. All data was collected retrospectively by an encrypted on-line platform. Results: Median surgical time was significantly longer in LESS group compared to Mini-LPS group (12 0 vs. 75 minutes, respectively; p
Source: Gynecologic and Obstetric Investigation - Category: OBGYN Source Type: research