Single-port Access Subtotal Laparoscopic Hysterectomy: A Prospective Case-Control Study

Abstract Study Objective The objective was to evaluate the perioperative outcomes, safety, and patient acceptance of single-port access laparoscopic subtotal hysterectomy (SPAL-SH) in comparison with conventional multiport access laparoscopic subtotal hysterectomy (MPAL-SH). Design Case-control study. Canadian Task Force Classification II-2. Setting The study was conducted at university hospitals in Cagliari, Italy, and Rouen, France. Patients Sixty-one women with metrorrhagia, abnormal uterine bleeding with uterine myomas, or symptomatic adenomyosis were included in the study. Interventions Thirty-one patients underwent SPAL-SH, and 30 patients underwent conventional MPAL-SH. Measurements and Main Results We analyzed the data to compare the outcomes of SPAL-SH versus MPAL-SH. Patients in the SPAL-SH group had longer operative times than those in the MPAL-SH group (p