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Clinical and Experimental Obstetrics & Gynecology  2020, Vol. 47 Issue (6): 895-899    DOI: 10.31083/j.ceog.2020.06.5468
Original Research Previous articles | Next articles
5 mm mini-incision laparoendoscopic single-site surgery of total hysterectomy: a report of five cases and literature review
J.L. Liu1, J.M. Chen1, *(), Y.F. Zheng1, X.W. Zhang1, R.X. Shi1
1Department of Obstetrics and Gynecology, The Affiliated Changzhou No. 2 People's Hospital of Nanjing Medical University, Changzhou, Jiangsu 213000, P.R. China
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Abstract  
Objective: To investigate the feasibility and safety of 5 mm mini-incision laparoendoscopic single-site surgery of total hysterectomy. Study design: A retrospective analysis was made to the clinical data of 5 patients who underwent 5 mm mini-incision single-site laparoscopic hysterectomy at the Department of Obstetrics and Gynecology, the Affiliated Changzhou No.2 People′s Hospital of Nanjing Medical University. Five patients were 40-52 years old between April 2018 and May 2018. Three of them diagnosed with cervical intraepithelial neoplasia grade III (CINIII); one of them diagnosed with endometrial atypical hyperplasia; One of them diagnosed with cervical cancer (Ia1 phase). Laparoscopic single-site hysterectomy was performed through a 5 mm mini-incision. Results: Five 5 mm mini-incision laparoendoscopic single-site operations were success and not changed to open abdomen operation. The mean operative time was (153 ± 34.02) minutes, in which the puncture establishes a part of the surgical path for 5-10 minutes, and the umbilical reconstruction part was 3-5 minutes; mean estimated blood loss was (60 ± 30.82) milliliters; The median temperature was 37.2 (36.5-37.5) ℃ on the first day after surgery; Postoperative anal exhaust time was 1.0-1.5 days and The length of hospital stay was 6-7 days. All the umbilical wounds healed well and the surgical scar was seen hardly after the operation. There were no umbilical hernia and other serious complications. Conclusion: 5 mm mini-incision laparoendoscopic single-site surgery of total hysterectomy may be safe and effective under the premise of mature laparoscopic technique.
Key words:  Mini-incision      Laparoendoscopic single-site surgery      Total hysterectomy     
Submitted:  23 December 2019      Accepted:  25 May 2020      Published:  15 December 2020     
Fund: 

2019K064/Scientific Research Support Program for Postdoctoral of Jiangsu Province

ZD201812/ Municipal Health and Family Planning Commission Major Science and Technology Projects of Changzhou

KD2018JYYJYB055/Kangda college of Nanjing Medical University

BRA2019161/Scientific Research Support Program for ”333 Project” of Jiangsu Province

LGY201701/Six Talent Peaks Project in Jiangsu Province

CJ20180028/Applied Science Foundation of Changzhou

CE20175004/Changzhou Science and Technology Bureau

*Corresponding Author(s):  JIMING CHEN     E-mail:  cjming@126.com

Cite this article: 

J.L. Liu, J.M. Chen, Y.F. Zheng, X.W. Zhang, R.X. Shi. 5 mm mini-incision laparoendoscopic single-site surgery of total hysterectomy: a report of five cases and literature review. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(6): 895-899.

URL: 

https://ceog.imrpress.com/EN/10.31083/j.ceog.2020.06.5468     OR     https://ceog.imrpress.com/EN/Y2020/V47/I6/895

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