RT - European Journal of Gynaecological Oncology ID - 10.22514/ejgo.2024.079 T1 - Application of transumbilical paring and retrieving techniques in laparoscopic myomectomy A1 - Wei Kong A1 - Guangwu Xiong A1 - Peng Guo A1 - Xue Li A1 - Li Shen A1 - Li Yang A1 - Huicheng Xu A1 - Jingbo Wang K1 - Laparoscopy; Myomectomy; Umbilical incision; Leiomyoma; Transumbilical paring and retrieving techniques; Transumbilical laparoendoscopic single-site surgery YR - 2024 SP - 139 AB -

To investigate the safety and effectiveness of transumbilical paring and retrieving techniques (TPRT) in conventional laparoscopic surgery (CLS). From July 2020 to October 2021, TPRT, based on transumbilical laparoendoscopic single-site surgery (TU-LESS), was applied to 111 cases of conventional laparoscopic myomectomy. The operation procedures included routine conventional laparoscopic myomectomy and uterine suture, placement of the endoscopic bag, tumor bagging, umbilical incision, paring and retrieving the tumor, and repairing the umbilical incision. Under direct vision, the tumor in the specimen bag was removed by clamping, pulling and reducing through the umbilical incision. All operations were successfully completed. The average number of leiomyomas removed was 1.94 (range, 1–11), and the mean tumor weight was 155.45 g (range, 40–665 g). The mean total tumor removal time, from endoscopic bag placement to umbilical incision repair, was 12.60 min (range, 6–28 min). The mean visual analog scale (VAS) scores evaluated on postoperatively day 1 was 2.59 (range, 1–4). Most of the removed lesions were diagnosed as benign leiomyoma on postoperative pathology, and no malignancy was observed in any resected samples. All cases were followed up through outpatient visits or telephone, and the average follow-up time was 7.55 months (range, 1–16 months). The umbilical incisions healed without complications, and there were no complaints of umbilical discomfort.TPRT was found to be safe, time-saving, cost-efficient, and easy to perform and learn.