Mini-Laparoscopic Versus Conventional Laparoscopic Surgery for Benign Adnexal Masses

Area of Science:

• Gynecologic Surgery
• Minimally Invasive Procedures
• Laparoscopy

Background:

• Minimally invasive endoscopic surgery is established for gynecologic procedures.
• No prior studies directly compare mini-laparoscopic surgery (MLS) and conventional laparoscopic surgery (CLS) for benign adnexal masses.

Purpose of the Study:

• To compare clinical and surgical outcomes between MLS and CLS for benign adnexal masses.
• To evaluate the efficacy and safety of MLS versus CLS in gynecologic surgery.

Main Methods:

• A retrospective study of 132 patients with benign adnexal masses from January 2014 to December 2016.
• 70 patients underwent CLS, and 62 underwent MLS.
• Outcomes assessed included operative time, blood loss, complications, hospital stay, and Patient and Observer Scar Assessment Scale (POSAS) scores.

Main Results:

• No significant differences in preoperative diagnosis, surgical procedure, or length of hospital stay between MLS and CLS.
• Statistically significant differences observed in postoperative pathological diagnosis, operative time, and hematocrit change.
• MLS group demonstrated significantly better patient and observer POSAS scar scores (P < 0.05).

Conclusions:

• Mini-laparoscopic surgery (MLS) is a safe and effective option for benign adnexal mass surgery.
• MLS provides superior cosmetic results compared to conventional laparoscopic surgery (CLS).