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

Abstract

BACKGROUND AND OBJECTIVE:

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.

METHODS:

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.

RESULTS:

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.

CONCLUSIONS:

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.

• Authors: Satoshi Suzuki, Shigenori Furukawa, Miki Ohara, Kiyoshi Kanno, Shun Yasuda, Takeharu Ohzeki, Takafumi Watanabe, Hidenori Takahashi, Hiroshi Suzuki, Keiya Fujimori
• Journal: Fukushima journal of medical science (Fukushima J Med Sci) Vol. 60 Issue 2 Pg. 149-53 ( 2014) ISSN: 2185-4610 [Electronic] Japan
• PMID: 25410442 (Publication Type: Comparative Study, Journal Article)

Topics

• Adult
• Female
• Genital Diseases, Female (surgery)
• Gynecologic Surgical Procedures (instrumentation, methods)
• Humans
• Laparoscopy (instrumentation, methods)
• Leiomyoma (surgery)
• Ovarian Neoplasms (surgery)
• Retrospective Studies
• Suture Techniques
• Uterine Myomectomy (instrumentation, methods)
• Uterine Neoplasms (surgery)