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Two-port access versus four-port access laparoscopic ovarian cystectomy

대한산부인과학회지 2014년 57권 5호 p.379 ~ 385
 ( Choi Won-Kyu ) - Chungnam National University School of Medicine Department of Obstetrics and Gynecology

 ( Kim Jang-Kew ) - Chungnam National University School of Medicine Department of Obstetrics and Gynecology
 ( Yang Jung-Bo ) - Chungnam National University School of Medicine Department of Obstetrics and Gynecology
 ( Ko Young-Bok ) - Chungnam National University School of Medicine Department of Obstetrics and Gynecology
 ( Nam Sang-Lyun ) - Chungnam National University School of Medicine Department of Obstetrics and Gynecology
 ( Lee Ki-Hwan ) - Chungnam National University School of Medicine Department of Obstetrics and Gynecology

Abstract


Objective: This study was conducted to compare the surgical outcomes between two-port access and four-port access laparoscopic ovarian cystectomy.

Methods: Four hundred and eighty nine patients who had received two-port access laparoscopic ovarian cystectomy (n=175) and four-port access laparoscopic ovarian cystectomy (n=314) in Chungnam National University Hospital from January 2009 to August 2012 were analyzed retrospectively. The data were compared between the bilaterality of the cysts and cyst diameter of less than 6 cm and 6 cm or more.

Results: There were no significant differences in patient’s age, parity, body weight, body mass index and history of previous surgery between the two-port and four-port access laparoscopy group. Bilaterality of ovarian cysts was more in fourport access laparoscopy group (13.7% vs. 32.5%, P=0.000). There were no significant differences in operation time, hemoglobin change, hospital stay, adhesiolysis, transfusion, and insertion of hemo-vac between the two-port and four-port access laparoscopy group for size matched compare. However additional analgesics were more in four-port access laparoscopy group for unilateral ovarian cystectomy.

Conclusion: Two-port access laparoscopic surgery was feasible and safe for unilateral and bilateral ovarian cystectomy compare with four-port access laparoscopic surgery.

키워드

Cystectomy; Ovarian cysts; Two-port access laparoscopy
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