Comparison of Surgical Outcomes of Adnexectomy by Vaginal Natural Orifice Transluminal Endoscopic Surgery (vNOTES) Versus Single-Port Access (SPA) Surgery
Abstract
:1. Introduction
2. Materials and Methods
2.1. Patients
2.2. Operative Techniques
2.3. Data
2.4. Statistical Analyses
2.5. Ethics Approval
3. Results
4. Discussion
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Before Matching | After Matching | |||||
---|---|---|---|---|---|---|
vNOTES (n = 12) | SPA (n = 55) | p-Value | vNOTES (n = 12) | SPA (n = 24) | p-Value | |
Age (years) | 62.5 [60.0; 67.0] | 53.0 [46.5; 60.5] | 0.001 | 62.7 ± 5.3 | 58.8 ± 5.6 | 0.055 |
Parity | 0.282 | 0.432 | ||||
0 | 0 (0.0%) | 6 (10.9%) | 0 (0.0%) | 1 (4.2%) | ||
1 | 1 (8.3%) | 10 (18.2%) | 1 (8.3%) | 4 (16.7%) | ||
2 | 6 (50.0%) | 30 (54.5%) | 6 (50.0%) | 15 (62.5%) | ||
3 | 5 (41.7%) | 7 (12.7%) | 5 (41.7%) | 4 (16.7%) | ||
4 | 0 (0.0%) | 1 (1.8%) | 0 (0.0%) | 0 (0.0%) | ||
5 | 0 (0.0%) | 1 (1.8%) | 0 (0.0%) | 0 (0.0%) | ||
History of vaginal delivery | 0.013 | 1.000 | ||||
No | 0 (0.0%) | 20 (36.4%) | 0 (0.0%) | 1 (4.2%) | ||
Yes | 12 (100.0%) | 35 (56.4%) | 12 (100.0%) | 23 (95.8%) | ||
Menopause | 0.006 | 1.000 | ||||
No | 0 (0.0%) | 22 (36.4%) | 0 (0.0%) | 1 (4.2%) | ||
Yes | 12 (100.0%) | 33 (63.6%) | 12 (100.0%) | 23 (95.8%) | ||
BMI a (kg/m2) | 23.5 [22.3;25.2] | 23.3 [21.8;25.0] | 0.954 | 23.3 ± 2.4 | 23.6 ± 2.9 | 0.809 |
History of previous abdominal surgery | 0.625 | 0.612 | ||||
0 | 7 (58.3%) | 29 (52.7%) | 7 (58.3%) | 16 (66.7%) | ||
1 | 5 (41.7%) | 16 (29.1%) | 5 (41.7%) | 6 (25.0%) | ||
2 | 0 (0.0%) | 8 (14.5%) | 0 (0.0%) | 1 (4.2%) | ||
3 | 0 (0.0%) | 1 (1.8%) | 0 (0.0%) | 1 (4.2%) | ||
4 | 0 (0.0%) | 1 (1.8%) | 0 (0.0%) | 0 (0.0%) | ||
Pre-op size (cm) | 4.8 ± 2.1 | 5.6 ± 2.7 | 0.325 | 4.4 ± 2.1 | 5.9 ± 2.7 | 0.111 |
Operation side | 0.314 | 0.253 | ||||
USO b | 2 (16.7%) | 19 (34.5%) | 2 (16.7%) | 1 (4.2%) | ||
BSO b | 10 (83.3%) | 36 (65.5%) | 10 (83.3%) | 23 (95.8%) |
Before Matching | After Matching | |||||
---|---|---|---|---|---|---|
vNOTES (n = 12) | SPA (n = 55) | p-Value | vNOTES (n = 12) | SPA (n = 24) | p-Value | |
Operation time (min) | 52.5 [38.5; 64.0] | 48.0 [41.0; 60.0] | 0.595 | 52.5 [38.5; 64.0] | 48.5 [41.0; 58.0] | 0.523 |
Estimated blood loss (mL) | 50.0 [40.0; 50.0] | 30.0 [30.0; 50.0] | 0.186 | 50.0 [40.0; 50.0] | 30.0 [20.0; 50.0] | 0.148 |
Hemoglobin changes (g/dL) a | 1.1 ± 0.6 | 1.2 ± 0.7 | 0.681 | 1.1 ± 0.6 | 1.1 ± 0.8 | 0.895 |
Postoperative hospital stay (day) | 1 (100.0%) | 1 (100.0%) | 1 (100.0%) | 1 (100.0%) | ||
Conversion of surgical methods | 1 | 0 | 1 | 0 | ||
Postoperative pain score | ||||||
6 h | 2.5 ± 1.0 | 3.8 ± 1.6 | 0.006 | 2.5 ± 1.0 | 3.6 ± 1.6 | 0.037 |
12 h | 1.5 [0.0; 2.0] | 3.0 [2.0; 3.0] | 0.008 | 1.5 [0.0; 2.0] | 3.0 [3.0; 5.0] | 0.002 |
24 h | 1.0 [0.0; 2.5] | 2.0 [2.0; 3.0] | 0.077 | 1.0 [0.0; 2.5] | 3.0 [2.0; 3.0] | 0.058 |
Analgesic requested on POD b 1 | 0.552 | 0.536 | ||||
None | 12 (100.0%) | 45 (81.8%) | 12 (100.0%) | 21 (87.5%) | ||
IV acetaminophen | 0 (0.0%) | 10 (18.2%) | 0 (0.0%) | 3 (12.5%) | ||
Immediate postoperative complications | 1 | 0 | 1 | 0 | ||
Delayed postoperative complications | 0 | 0 | 0 | 0 |
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Jung, J.; Noh, J.J.; Jeon, J.; Chang, C.-S.; Kim, T.-J. Comparison of Surgical Outcomes of Adnexectomy by Vaginal Natural Orifice Transluminal Endoscopic Surgery (vNOTES) Versus Single-Port Access (SPA) Surgery. J. Pers. Med. 2022, 12, 1996. https://doi.org/10.3390/jpm12121996
Jung J, Noh JJ, Jeon J, Chang C-S, Kim T-J. Comparison of Surgical Outcomes of Adnexectomy by Vaginal Natural Orifice Transluminal Endoscopic Surgery (vNOTES) Versus Single-Port Access (SPA) Surgery. Journal of Personalized Medicine. 2022; 12(12):1996. https://doi.org/10.3390/jpm12121996
Chicago/Turabian StyleJung, Jihee, Joseph J. Noh, Jungeun Jeon, Chi-Son Chang, and Tae-Joong Kim. 2022. "Comparison of Surgical Outcomes of Adnexectomy by Vaginal Natural Orifice Transluminal Endoscopic Surgery (vNOTES) Versus Single-Port Access (SPA) Surgery" Journal of Personalized Medicine 12, no. 12: 1996. https://doi.org/10.3390/jpm12121996
APA StyleJung, J., Noh, J. J., Jeon, J., Chang, C.-S., & Kim, T.-J. (2022). Comparison of Surgical Outcomes of Adnexectomy by Vaginal Natural Orifice Transluminal Endoscopic Surgery (vNOTES) Versus Single-Port Access (SPA) Surgery. Journal of Personalized Medicine, 12(12), 1996. https://doi.org/10.3390/jpm12121996