Abstract
Objective
The purpose of this study was to examine the effectiveness of gasless reduced-port laparoscopic surgery (GRP-LS) using a 5 mm endoscopic port and one surgical port for the treatment of gynecological diseases
Methods
We compared GRP-LS and gasless 3-port laparoscopic surgery (G3P-LS), based on patient background, operative procedures, number of surgeries performed by the surgeon, length of surgery, blood loss, blood transfusion, conversion rate to open surgery, operative complications, and the number of surgeons involved in the procedure. We compared the two techniques in patients being treated for laparoscopic myomectomy (LM), laparoscopic ovarian cystectomy (LC), and laparoscopic salpingectomy (LT).
Results
GRP-LS was used in 2,338 cases and G3P-LS in 2,473 cases. GRP-LS was used in 980 LM cases (41.9%); 804 LC cases (34.4%); 240 LT cases (10.3%); 180 LA cases (7.7%); and 134 cases for other conditions (5.7%). GRP-LS was used by 78 surgeons; 85.9% of the surgeons had performed fewer than 50 GRP-LS surgeries in their careers; and those surgeons performed about half of all surgeries. The time required for GRP-LS was significantly less for LM, LC, LT, and the procedure also had less blood loss for LM and LC than G3P-LS. G3P-LS required a transition to open surgery in 0.69% of cases, whereas GRP-LS showed a very low rate of 0.09%.
Conclusions
GRP-LS is a new type of laparoscopic surgery that has overcome disadvantages of the previous lifting methods (G3P-LS) and is easier to learn, allowing inexperienced laparoscopic surgeons to effectively perform the surgery.