Systematic review and meta-analysis of single-port versus conventional laparoscopic hysterectomy

International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics
Lilin YangSongping Luo

Abstract

The choice between single-port laparoscopic hysterectomy (SPLH) and conventional laparoscopic hysterectomy (CLH) remains unclear. To evaluate the feasibility, safety, and comparative effectiveness of SPLH and CLH. PubMed, Web of Science, and the Cochrane Library were searched in February 2015 using combinations of the terms "single port," "single incision," "single site," "laparoscopic hysterectomy," and "laparoendoscopic hysterectomy." Randomized controlled trials (RCTs) and retrospective studies comparing SPLH and CLH were included if they reported at least one quantitative outcome. Study characteristics, quality, and outcomes were assessed. The primary outcomes were procedure failure and perioperative complications. Odds ratio (ORs) and 95% confidence intervals (CIs) were calculated. Eighteen studies (6 RCTs, 12 retrospective studies) were included. As compared with CLH, SPLH had a higher failure rate (OR 6.37, 95% CI 3.34-12.14; P<0.001). The frequency of perioperative complications did not differ (OR 0.89, 95% CI 0.45-1.74; P=0.73). There is no significant difference in the frequency of perioperative complications between SPLH and CLH. However, the higher rate of procedure failure in SPLH should be taken into consideration.

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Citations

Aug 3, 2016·Journal of Minimally Invasive Gynecology·Fatih ŞendağSavaş Gündoğan
Mar 31, 2017·Archives of Gynecology and Obstetrics·Evelien M SandbergFrank Willem Jansen
Sep 13, 2018·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·Kyung Jin EohSang Wun Kim
Sep 20, 2020·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Caitlin E CarrChad M Michener
Aug 3, 2018·Case Reports in Obstetrics and Gynecology·Shadi RezaiXiaoming Guan

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