Dual-port laparoscopic myomectomy: a balanced yet potentially more optimal surgical approach
ObjectiveThis study aimed to compare the perioperative outcomes of single-incision laparoscopic surgery (SILS) and dual-port laparoscopic myomectomy in patients with solitary uterine fibroids.MethodsThis retrospective observational study included 162 patients who underwent laparoscopic myomectomy fo...
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Frontiers Media S.A.
2025-07-01
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| Series: | Frontiers in Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fmed.2025.1617194/full |
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| author | Ying Liu Qiang Zhang Qiang Zhang Biao Huang Biao Huang Xin Li Tianjiao Liu Lijuan Xu Xiaoyan Liao Jianmei Liao Wei Cheng Hui Wang Juan Huang Tenglan Wu Yan Liu Jie Yu Yonghong Lin Xiaoqin Gan |
| author_facet | Ying Liu Qiang Zhang Qiang Zhang Biao Huang Biao Huang Xin Li Tianjiao Liu Lijuan Xu Xiaoyan Liao Jianmei Liao Wei Cheng Hui Wang Juan Huang Tenglan Wu Yan Liu Jie Yu Yonghong Lin Xiaoqin Gan |
| author_sort | Ying Liu |
| collection | DOAJ |
| description | ObjectiveThis study aimed to compare the perioperative outcomes of single-incision laparoscopic surgery (SILS) and dual-port laparoscopic myomectomy in patients with solitary uterine fibroids.MethodsThis retrospective observational study included 162 patients who underwent laparoscopic myomectomy for solitary fibroids from January 2022 to December 2023 at a single tertiary center. Patients were divided into a SILS group (n = 77) and a dual-port group (n = 85). Perioperative outcomes—including operative time, intraoperative blood loss, analgesic use, hospital stay, and cosmetic results—were compared between the groups. Multivariate linear and logistic regression analyses were conducted to identify factors associated with surgical complexity and recovery.ResultsThe dual-port group had significantly lower intraoperative blood loss (41.71 ± 65.37 mL vs. 89.55 ± 93.70 mL, p < 0.001), lower rates of postoperative analgesic use (24.7% vs. 40.3%, p = 0.034), and shorter hospital stays (1.07 ± 0.30 vs. 1.30 ± 0.65 days, p = 0.005) compared to the SILS group. Fibroid size and procedure time were independent predictors of increased bleeding. Posterior wall fibroids were significantly associated with postoperative analgesic use. Delayed discharge was more common in patients with larger fibroids and those requiring postoperative analgesia. Cosmetic outcomes in the dual-port group remained favorable despite the auxiliary incision.ConclusionDual-port laparoscopic myomectomy is a feasible and potentially more effective alternative to single-incision surgery, offering better ergonomic access, improved perioperative outcomes, and excellent cosmetic results. This approach may be especially advantageous when addressing large or posteriorly located fibroids. Individualized surgical planning remains essential to optimize outcomes in minimally invasive myomectomy. |
| format | Article |
| id | doaj-art-ffe372ea0e9747a6869053214b85ccdf |
| institution | Kabale University |
| issn | 2296-858X |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Medicine |
| spelling | doaj-art-ffe372ea0e9747a6869053214b85ccdf2025-08-20T03:33:43ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2025-07-011210.3389/fmed.2025.16171941617194Dual-port laparoscopic myomectomy: a balanced yet potentially more optimal surgical approachYing Liu0Qiang Zhang1Qiang Zhang2Biao Huang3Biao Huang4Xin Li5Tianjiao Liu6Lijuan Xu7Xiaoyan Liao8Jianmei Liao9Wei Cheng10Hui Wang11Juan Huang12Tenglan Wu13Yan Liu14Jie Yu15Yonghong Lin16Xiaoqin Gan17Department of Gynecology and Obstetrics, Chengdu Women’s and Children’s Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, ChinaDepartment of Gynecology and Obstetrics, Chengdu Women’s and Children’s Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, ChinaBazhong Maternal and Child Health Hospital, Bazhong, ChinaDepartment of Obstetrics and Gynecology, Women and Children’s Hospital of Chongqing Medical University, Chongqing, ChinaNHC Key Laboratory of Birth Defects and Reproductive Health, Chongqing, ChinaKey Laboratory of Birth Defects and Related Diseases of Women and Children, Ministry of Education, West China Second Hospital, Sichuan University, Chengdu, ChinaDepartment of Gynecology and Obstetrics, Chengdu Women’s and Children’s Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, ChinaDepartment of Gynecology and Obstetrics, Chengdu Women’s and Children’s Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, ChinaDepartment of Gynecology and Obstetrics, Chengdu Women’s and Children’s Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, ChinaDepartment of Gynecology and Obstetrics, Chengdu Women’s and Children’s Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, ChinaDepartment of Gynecology and Obstetrics, Chengdu Women’s and Children’s Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, ChinaDepartment of Gynecology and Obstetrics, Chengdu Women’s and Children’s Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, ChinaDepartment of Gynecology and Obstetrics, Chengdu Women’s and Children’s Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, ChinaDepartment of Gynecology and Obstetrics, Chengdu Women’s and Children’s Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, ChinaDepartment of Gynecology and Obstetrics, Chengdu Women’s and Children’s Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, ChinaDepartment of Gynecology and Obstetrics, Chengdu Women’s and Children’s Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, ChinaDepartment of Gynecology and Obstetrics, Chengdu Women’s and Children’s Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, ChinaDepartment of Gynecology and Obstetrics, Chengdu Women’s and Children’s Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, ChinaObjectiveThis study aimed to compare the perioperative outcomes of single-incision laparoscopic surgery (SILS) and dual-port laparoscopic myomectomy in patients with solitary uterine fibroids.MethodsThis retrospective observational study included 162 patients who underwent laparoscopic myomectomy for solitary fibroids from January 2022 to December 2023 at a single tertiary center. Patients were divided into a SILS group (n = 77) and a dual-port group (n = 85). Perioperative outcomes—including operative time, intraoperative blood loss, analgesic use, hospital stay, and cosmetic results—were compared between the groups. Multivariate linear and logistic regression analyses were conducted to identify factors associated with surgical complexity and recovery.ResultsThe dual-port group had significantly lower intraoperative blood loss (41.71 ± 65.37 mL vs. 89.55 ± 93.70 mL, p < 0.001), lower rates of postoperative analgesic use (24.7% vs. 40.3%, p = 0.034), and shorter hospital stays (1.07 ± 0.30 vs. 1.30 ± 0.65 days, p = 0.005) compared to the SILS group. Fibroid size and procedure time were independent predictors of increased bleeding. Posterior wall fibroids were significantly associated with postoperative analgesic use. Delayed discharge was more common in patients with larger fibroids and those requiring postoperative analgesia. Cosmetic outcomes in the dual-port group remained favorable despite the auxiliary incision.ConclusionDual-port laparoscopic myomectomy is a feasible and potentially more effective alternative to single-incision surgery, offering better ergonomic access, improved perioperative outcomes, and excellent cosmetic results. This approach may be especially advantageous when addressing large or posteriorly located fibroids. Individualized surgical planning remains essential to optimize outcomes in minimally invasive myomectomy.https://www.frontiersin.org/articles/10.3389/fmed.2025.1617194/fulldual-port laparoscopysingle-incision laparoscopymyomectomyminimally invasive surgeryperioperative outcomes |
| spellingShingle | Ying Liu Qiang Zhang Qiang Zhang Biao Huang Biao Huang Xin Li Tianjiao Liu Lijuan Xu Xiaoyan Liao Jianmei Liao Wei Cheng Hui Wang Juan Huang Tenglan Wu Yan Liu Jie Yu Yonghong Lin Xiaoqin Gan Dual-port laparoscopic myomectomy: a balanced yet potentially more optimal surgical approach Frontiers in Medicine dual-port laparoscopy single-incision laparoscopy myomectomy minimally invasive surgery perioperative outcomes |
| title | Dual-port laparoscopic myomectomy: a balanced yet potentially more optimal surgical approach |
| title_full | Dual-port laparoscopic myomectomy: a balanced yet potentially more optimal surgical approach |
| title_fullStr | Dual-port laparoscopic myomectomy: a balanced yet potentially more optimal surgical approach |
| title_full_unstemmed | Dual-port laparoscopic myomectomy: a balanced yet potentially more optimal surgical approach |
| title_short | Dual-port laparoscopic myomectomy: a balanced yet potentially more optimal surgical approach |
| title_sort | dual port laparoscopic myomectomy a balanced yet potentially more optimal surgical approach |
| topic | dual-port laparoscopy single-incision laparoscopy myomectomy minimally invasive surgery perioperative outcomes |
| url | https://www.frontiersin.org/articles/10.3389/fmed.2025.1617194/full |
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