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首页> 外文期刊>Taiwanese journal of obstetrics and gynecology >Two-port myomectomy using bag-contained manual morcellation: A comparison with three-port myomectomy using power morcellation
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Two-port myomectomy using bag-contained manual morcellation: A comparison with three-port myomectomy using power morcellation

机译：使用袋装手动粉碎的两端口子宫肌瘤切除术：与使用动力粉碎的三端口子宫肌瘤切除术的比较

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ObjectivesTo evaluate the feasibility and safety of two-port myomectomy using bag-contained manual morcellation compared to three-port myomectomy using power morcellation.Material and methodsA retrospective chart review was conducted for 428 cases of either two-port or three-port laparoscopic myomectomy performed by single operator in the university hospital between January 2011 and December 2016.ResultsThe cohorts of three-port myomectomy with power morcellation was consisted of two hundred and forty-eight patients. One hundred and eighty patients underwent two-port myomectomy with manual morcellation in contained bag. Two-port group showed shorter hospital stay (5.16?±?1.39?d vs. 4.83?±?1.19?d,p?=?0.001), less estimated blood loss (61.8?±?58.2?mL vs. 50.2?±?52.4?mL,p?=?0.001), and higher hemoglobin level at postoperative day 1 (10.7?±?1.17?g/dL vs. 11.0?±?1.14?g/dL,p?=?0.028) with statistical significance. Morcellation time (25.8?±?9.30?min vs. 18.9?±?10.11?min,p?=?0.001) and total operative time (82.4?±?30.19?min vs. 76.4?±?25.47?min,p?=?0.047) were also significantly shorter in two-port group. There were no identified spillages of fibroids, ruptures of specimen bag during manual morcellation in two-port myomectomy. In both groups, there were no cases of leiomyosarcoma diagnosed postoperatively.ConclusionTwo-port laparoscopic myomectomy with bag-contained manual morcellation is a feasible and safe alternative for three-port with power morcellation. Its surgical outcomes were shown to be superior to conventional laparoscopic myomectomy according to our study but further evaluation in near future is needed.
机译：目的通过袋装人工粉碎术与使用动力粉碎术的三孔肌瘤切除术比较两口子宫肌瘤切除术的可行性和安全性。材料与方法回顾性分析了428例二孔或三孔腹腔镜子宫肌瘤切除术的病例。结果由2011年1月至2016年12月在大学医院由一位操作员进行手术。结果三端口子宫肌瘤切除术加动力粉碎的队列包括248位患者。一百八十名患者接受了两口子宫肌瘤切除术，并在装好的袋子中进行手工粉碎。两端口组的住院时间更短（5.16？±？1.39？d vs. 4.83？±？1.19？d，p？=？0.001），估计失血量更少（61.8？±？58.2？mL vs. 50.2？±术后第1天的血红蛋白水平为[52.4？mL，p？=？0.001]和更高（10.7？±？1.17？g / dL与11.0？±？1.14？g / dL，p？=？0.028），且具有统计学意义意义。撕碎时间（25.8±±9.30？min与18.9±±10.11？min，p？= 0.001）和总手术时间（82.4±±30.19？min与76.4±±25.47？min，p？ =？0.047）在两端口组中也显着缩短。在两口子宫肌瘤切除术中，在手动粉碎期间未发现肌瘤溢出，标本袋破裂。两组均无术后平滑肌肉瘤的诊断。结论腹腔镜子宫肌瘤行袋装人工剖宫术是三口腹腔镜动力切除术的一种可行，安全的替代方法。根据我们的研究显示，它的手术效果优于传统的腹腔镜子宫肌瘤切除术，但需要在不久的将来进行进一步评估。

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