Abstract
Objective
To compare the safety and clinical outcomes of transumbilical laparoscopic single-incision Hangt-port approach with multiport approach surgery for mature cystic teratoma of ovary.
Methods
A total of 94 patients with unilateral ovarian maturity cystic teratoma underwent cystectomy in our hospital from February 2018 to December 2019 were retrospectively analysed. All the patients were treated with single incision surgery by Hangt-port approach (n = 45) and multiport approach (n = 49). Baseline characteristics were presented, and perioperative outcomes were followed-up and compared. Primary outcome measures were incision related complications.
Results
Baseline characteristics were comparable within the groups. During 1 year follow-up, the incidence of incision related complications of Hangt-port approach were more than that in the multiport group ( 8/45 v.s.1/49, P = 0.013). A total of 2 cases suffered postoperative umbilical hernia and 7 case was delayed incision wound healing. Compared with multiport group, post-operative VAS scores during 12 hours were significantly increased in Hangt-port group (3.62 ± 0.91 v.s. 2.92 ± 1.13, P = 0.001). Also, the Hangt-port group had significantly shorter operative time for patients with cyst size > 6cm (77.77 ± 16.31 v.s. 92.33 ± 25.65, P = 0.031), while showed significantly prolonged post-operative hospital stay for patients with cyst size ≤ 6cm (4.13 ± 1.01 v.s. 3.32 ± 0.82, P = 0.003).
Conclusions
Both multiport and Hangt-port approach were safe in laparoscopic single incision surgery. Hangt-port approach was likely to be recommended for patients with cyst size > 6 cm, but incision-related follow-up complications should be concerned.while this finding still need to be explored by further large-scale study.