The Safety Of Umbilical Single-Hole Laparoscopic Surgery In The Treatment Of Pregnancy With Giant Ovarian Cysts

Objective: By comparing the treatment of umbilical single-hole laparoscopic surgery in pregnancy with large ovarian cysts and traditional three-hole laparoscopic surgery,explore and study the safety of umbilical single-hole laparoscopic surgery,with a view to selecting these patients Provide more references.Methods: This study used a prospective randomized research method.According to the simple randomization principle,the eligible patients were randomly divided into the transumbilical single-hole laparoscopic surgery group(A)and the traditional three-hole laparoscopic surgery according to the principle of simple randomization.Group(B).Participants were selected from August 2017 to December 2019 in Guangxi Zhuang Autonomous Region People’s Hospital admitted to the B-ultrasound and pathological diagnosis of 36 pregnant women with giant ovarian cysts,the final grouping results were 20 patients in group A,B Group 16 cases.Collect the basic information of the two groups of patients,including age,body mass index,gestational age,cyst diameter,history of maternal and pelvic surgery,and perioperative indicators of the two groups of patients,including the operation time,intraoperative estimated bleeding Volume,postoperative anal exhaust time,postoperative complications,postoperative pain score,total hospital stay,surgical mouth beauty satisfaction score,pregnancy outcome,and then compared the surgical parameters of the two groups by statistical analysis.Results: All patients successfully completed the operation,and no case of conversion to laparotomy,intraoperative blood transfusion and intraoperative complications occurred.Compared with the traditional three-hole laparoscopic surgery,the umbilical single-hole laparoscopic surgery has less bleeding(31.0 ±34.01 ml vs 56.25 ± 31.17 ml,p = 0.028),and low pain at 24 hours after surgery(3.85 ± 1.09 points vs 5.31 ± 1.01 points,p = 0.000),the wound beauty satisfaction score is high(95.45 ± 1.79 points vs 83.5 ± 6.25 points);during the operation time(77.45 ± 20.80 min vs 87.06 ± 24.66 min,p = 0.213)postoperative anal discharge Qi time(2.05 ± 0.69 d vs 2.19 ± 0.66 d,p = 0.544),hospital stay(7.25 ± 1.16 d vs7.38 ± 1.09 d,p = 0.744),pregnancy outcomes(number of cases of continued pregnancy / premature delivery / term delivery)2/17/1 vs 1/12/3,p = 0.303),the difference between the two groups was not statistically significant.Conclusions: 1.Compared with traditional three-hole laparoscopy,the transumbilical single-hole laparoscopic surgery for the treatment of pregnancy with giant ovarian cysts has less intraoperative blood loss,significantly less operation under the microscope and pneumoperitoneum,and reduces the operation.The occurrence of moderate complications reduces the impact on mother and child,and is safe,effective and feasible.2.Compared with traditional three-hole laparoscopy,transumbilical single-hole laparoscopic surgery has the advantages of less postoperative pain and more beautiful surgical mouth,and it is expected to become an alternative to traditional laparoscopy in the future.