PMID- 22678177
OWN - NLM
STAT- MEDLINE
DCOM- 20130506
LR  - 20220408
IS  - 1432-2218 (Electronic)
IS  - 0930-2794 (Linking)
VI  - 26
IP  - 12
DP  - 2012 Dec
TI  - Laparoscopic, minilaparoscopic and single-port hysterectomy: perioperative 
      outcomes.
PG  - 3592-6
LID - 10.1007/s00464-012-2377-2 [doi]
AB  - OBJECTIVE: This study was designed to compare perioperative outcomes and 
      postoperative pain of standard laparoscopic (S-LPS), minilaparoscopic (M-LPS), 
      and laparoendoscopic single-site (LESS) hysterectomy. METHODS: A 
      single-institutional, matched, retrospective, cohort study was performed. Between 
      May 2010 and March 2011, 85 consecutive women were submitted to a total 
      laparoscopic hysterectomy by S-LPS, M-LPS, and single-port LESS. Perioperative 
      outcomes of these three techniques were analyzed and compared. RESULTS: 
      Demographics and baseline characteristics of each group were absolutely 
      comparable. The median operative time was longer [105 (range, 75-125) min] in the 
      LESS group compared with the M-LPS group [90 (range, 60-120) min; p < 0.011] and 
      S-LPS [80 (range, 50-110) min; p < 0.001]. No statistically significant 
      differences have been reported for estimated blood loss or intra- and early 
      postoperative complications. Postoperative pain control was better for LESS and 
      M-LPS than S-LPS. CONCLUSIONS: M-LPS and LESS hysterectomy can be performed 
      safely, and both seem to be associated with a halving of early postoperative pain 
      with a lower request of analgesics.
FAU - Fanfani, Francesco
AU  - Fanfani F
AD  - Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, 
      Catholic University of the Sacred Heart, L.go A. Gemelli 8, 00168, Rome, Italy. 
      francesco.fanfani@rm.unicatt.it
FAU - Fagotti, Anna
AU  - Fagotti A
FAU - Rossitto, Cristiano
AU  - Rossitto C
FAU - Gagliardi, Maria Lucia
AU  - Gagliardi ML
FAU - Ercoli, Alfredo
AU  - Ercoli A
FAU - Gallotta, Valerio
AU  - Gallotta V
FAU - Gueli Alletti, Salvatore
AU  - Gueli Alletti S
FAU - Monterossi, Giorgia
AU  - Monterossi G
FAU - Turco, Luigi Carlo
AU  - Turco LC
FAU - Scambia, Giovanni
AU  - Scambia G
LA  - eng
PT  - Comparative Study
PT  - Journal Article
DEP - 20120608
PL  - Germany
TA  - Surg Endosc
JT  - Surgical endoscopy
JID - 8806653
SB  - IM
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Cohort Studies
MH  - Female
MH  - Humans
MH  - Hysterectomy/*methods
MH  - Laparoscopy/*methods
MH  - Middle Aged
MH  - Pain, Postoperative/*epidemiology
MH  - Retrospective Studies
MH  - Treatment Outcome
EDAT- 2012/06/09 06:00
MHDA- 2013/05/07 06:00
CRDT- 2012/06/09 06:00
PHST- 2012/02/15 00:00 [received]
PHST- 2012/05/03 00:00 [accepted]
PHST- 2012/06/09 06:00 [entrez]
PHST- 2012/06/09 06:00 [pubmed]
PHST- 2013/05/07 06:00 [medline]
AID - 10.1007/s00464-012-2377-2 [doi]
PST - ppublish
SO  - Surg Endosc. 2012 Dec;26(12):3592-6. doi: 10.1007/s00464-012-2377-2. Epub 2012 
      Jun 8.