Efficacy of 2-port laparoscopic surgery for gynecologic disease: invention of new suture technique.

To evaluate the efficacy and safety of 2-port laparoscopic surgery for ovarian tumors and uterine leiomyomas. A conventional slip knot under laparoscopic surgery is useful, but it is difficult for beginners. Therefore, we developed new suture technique.
Between January 2011 and December 2012, 38 patients underwent 2-port total laparoscopic cystectomy (TLC); between January 2010 and December 2011, 45 patients underwent multiport (3 or 4 ports) TLC. Between January 2011 and December 2012, 25 patients underwent 2-port laparoscopic myomectomy (LM); between January 2010 and December 2011, 34 patients underwent multiport (3 or 4 ports) LM. Surgery time, blood loss, postoperative length of stay and complications were retrospectively compared in each group.
No significant differences in surgery time, blood loss or postoperative length of stay were found between 2-port TLC and multiport TLC. No significant differences were found in the aforementioned parameters between 2-port LM and multiport LM. We showed here a new suture technique 'intra-abdominal suturing/extra-abdominal traction method' instead of conventional slip knot.
We confirmed that 2-port TLC and LM are less invasive than conventional multiport laparoscopic surgery; furthermore, they are as safe as the conventional procedure. The new suture technique is easier than conventional slip knot and can applies sufficient tension to the suture knot for beginners.
AuthorsSatoshi Suzuki, Shigenori Furukawa, Miki Ohara, Kiyoshi Kanno, Shun Yasuda, Takeharu Ohzeki, Takafumi Watanabe, Hidenori Takahashi, Hiroshi Suzuki, Keiya Fujimori
JournalFukushima journal of medical science (Fukushima J Med Sci) Vol. 60 Issue 2 Pg. 149-53 ( 2014) ISSN: 2185-4610 [Electronic] Japan
PMID25410442 (Publication Type: Journal Article)

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