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Objective <p>The aim of the present retrospective cohort study was to compare the clinical characteristics, perioperative outcomes and pregnancy outcomes of laparo-endoscopic single-site (LESS) surgery, conventional laparoscopy (CL) surgery and transabdominal (TA) surgery for managing gynecological pelvic masses (GPMs) during the second (14–28&#xa0;weeks) and third (&gt; 28&#xa0;weeks) trimesters. The study comprised patients who underwent surgical intervention (LESS, CL or TA surgery) for GPMs at Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Shannan Maternal and Child Health Hospital, and Zhongnan Hospital of Wuhan University, between June 2018 and June 2023.</p> Design <p>Retrospective cohort study.</p> Setting <p>Multicenter academic healthcare institutions.</p> Participants <p>Patients undergoing surgical intervention for GPM at Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Shannan Maternal and Child Health Hospital, and Zhongnan Hospital of Wuhan University, between June 2018 and June 2023.</p> Interventions <p>LESS, CL, or TA.</p> Results <p>Among the 59 patients (gestational age: 13–29&#xa0;weeks, including one case of twin pregnancy), 16 underwent LESS surgery, 25 underwent CL surgery, and 18 underwent TA surgery. Compared to the TA group, the laparoscopic group (LESS and CL surgeries) had shorter operative times and bed rest durations, lower inflammatory markers, and a reduced length of hospital stay post-operation. The LESS surgery group was noted to have lower VAS pain scores and lower SCAR scores at one month post-surgery compared with the CL group. However, there were no statistically significant differences in infant growth and neurodevelopmental outcomes at one year of age among the three groups.</p> Conclusions <p>The present study has shown that LESS surgery presents a safe and effective alternative for managing GPMs during the second and third trimesters, offering advantages in terms of postoperative recovery and scar appearance.</p>

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Application value of laparo-endoscopic single-site surgery during the second and third trimesters complicated with gynecological pelvic mass

  • 期刊论文

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  • 发表日期：

    2025年11月24日

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  • Lufang Zhang,
  • Yeshe Lhamo,
  • Jing Liao,
  • Jun Chen,
  • Zhuoma Laba,
  • Shuai Li,
  • Yi Shen

摘要

Objective

The aim of the present retrospective cohort study was to compare the clinical characteristics, perioperative outcomes and pregnancy outcomes of laparo-endoscopic single-site (LESS) surgery, conventional laparoscopy (CL) surgery and transabdominal (TA) surgery for managing gynecological pelvic masses (GPMs) during the second (14–28 weeks) and third (> 28 weeks) trimesters. The study comprised patients who underwent surgical intervention (LESS, CL or TA surgery) for GPMs at Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Shannan Maternal and Child Health Hospital, and Zhongnan Hospital of Wuhan University, between June 2018 and June 2023.

Design

Retrospective cohort study.

Setting

Multicenter academic healthcare institutions.

Participants

Patients undergoing surgical intervention for GPM at Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Shannan Maternal and Child Health Hospital, and Zhongnan Hospital of Wuhan University, between June 2018 and June 2023.

Interventions

LESS, CL, or TA.

Results

Among the 59 patients (gestational age: 13–29 weeks, including one case of twin pregnancy), 16 underwent LESS surgery, 25 underwent CL surgery, and 18 underwent TA surgery. Compared to the TA group, the laparoscopic group (LESS and CL surgeries) had shorter operative times and bed rest durations, lower inflammatory markers, and a reduced length of hospital stay post-operation. The LESS surgery group was noted to have lower VAS pain scores and lower SCAR scores at one month post-surgery compared with the CL group. However, there were no statistically significant differences in infant growth and neurodevelopmental outcomes at one year of age among the three groups.

Conclusions

The present study has shown that LESS surgery presents a safe and effective alternative for managing GPMs during the second and third trimesters, offering advantages in terms of postoperative recovery and scar appearance.