Abstract
Objective:
To compare intraoperative outcomes and complication between single-glove port laparoscopic hysterectomy (SGPLH) and vaginal natural orifice transluminal endoscopic surgery (VNOTES) hysterectomy.
Design:
The efficacy therapeutic research with retrospective data collection and propensity score math analysis.
Material and Methods:
Data were extracted from medical records of anonymous patients who diagnosed with benign gynecological disease and non-prolapse uterus who underwent SGPLH and VNOTES at Prapokklao Hospital, Thailand from January 2018 to August 2023. Study outcomes included operative time, estimated blood loss, perioperative complications, and postoperative pain. Factors applied for propensity score matching included age, body weight, body mass index, parity, underlying disease, previous abdominal surgery, and uterine weight.
Results:
A total of 101 patients were divided into two groups; 60 (59.4%) in the SGPLH group and 41 (40.6%) in the VNOTES group. The operative time of SGPLH was shorter than VNOTES (mean [SD], 93.7 [30.46] vs. 95.1 [41.5] minutes; p = 0.84). There was no significant difference between two groups in terms of previous abdominal surgery (p = 0.42) and others. In propensity score math analysis, among 32 pairs, there were no differences in operative time (mean [SD], 94.8 [28.18] vs. 97.2 [45.5] minutes; p = 0.79) and estimated blood loss (mean [SD], 167.5 [150.1] vs. 217.8 [212.7] minutes; p = 0.28) between the two groups.
Conclusions:
SGPLH and VNOTES showed no differences in operative time and in terms of complications. However, VNOTES required no abdominal incision.
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