Single Incision Laparoscopic Surgery for Surgical Treatment of Tubal Ectopic Pregnancy: A Feasible Alternative to Conventional Laparoscopy

摘要

Objective: Laparoscopy is increasingly the preferred surgical approach in patients with ectopic pregnancy. The aim of this research was to evaluate the feasibility, safety, and outcomes of surgery for tubal ectopic pregnancy using single incision laparoscopic surgery (SILS) in comparison to conventional laparoscopic surgery (CLS) in the authors' local setting. Design: This single-center prospective study included consecutive patients treated by the SILS or CLS approach for salpingectomy in tubal ectopic pregnancy from September 1, 2011, to April 1, 2016. Materials and Methods: Information on patient bio-data, intra-, and postoperative data were collected and compared between patients who underwent the two surgical approaches. Results: In total, 93 consecutive patients underwent surgery for salpingectomy in tubal ectopic pregnancy. Of these, 33 (Group 1) were treated by SILS and 60 (Group 2) were treated by standard CLS. All 33 (100%) patients were treated successfully with the SILS approach, without need for conversion to CLS or laparotomy. No significant differences were found in mean operative time (56.1 ±22.2 minutes versus 55.0117.4 minutes), length of hospital stay (1.45 ±0.794 days versus 1.83 ±1.12 days), and patient satisfaction score (8.5 ±0.837 versus 7.9 ±0.1) between the SILS versus the control group. No complications were encountered in either group. Conclusions: SILS appears to be a safe and feasible alternative to CLS for treatment of tubal ectopic pregnancy in suitable patients. Outcomes on operative times, hospital stays, satisfaction scores, and complication rates were at least equivalent to CLS. Future researchers may wish to compare patient satisfaction among patients who underwent SILS versus CLS more holistically.