Transvaginal endoscopic surgery-assisted versus conventional laparoscopic adnexectomy (TVEA vs. CLA): A propensity-matched study and literature review

Yi Chieh Li, Fei Chun Ku, Hsin Hong Kuo, Hsiao Jung Tseng, Chin Jung Wang*

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

18 Scopus citations

Abstract

Objective Natural orifice transluminal endoscopic surgery (NOTES) may be useful in gynecologic endoscopic surgery. This study evaluated the efficacy, safety, and perioperative outcomes of combined NOTES and vaginal approach, transvaginal endoscopic surgery-assisted adnexectomy (TVEA), for the surgical treatment of presumed benign ovarian tumors. Materials and methods Records were reviewed for 33 consecutive TVEA procedures performed between May 2011 and March 2014. Patient age, body mass index, parity, mass size, and mass bilaterality were used to select comparable patients who had undergone conventional laparoscopic adnexectomy (CLA). Results A total of 236 patients were included in this study (203 CLAs and 33 TVEAs). No cases switched to abdominal laparotomy. Operating time and length of postoperative stay were significantly longer in the CLA group than in the TVEA group, while total hospital charges were higher in the TVEA group (p < 0.001). There was no difference in febrile morbidity between the two groups; while the estimated blood loss was higher in the TVEA group, the EBL was <30 mL in both groups. conclusion TVEA can be safely performed for benign and large ovarian tumors. In addition, TVEA offers superior operative efficiency compared to CLA.

Original languageEnglish
Pages (from-to)336-341
Number of pages6
JournalTaiwanese Journal of Obstetrics and Gynecology
Volume56
Issue number3
DOIs
StatePublished - 06 2017

Bibliographical note

Publisher Copyright:
© 2017

Keywords

  • Adnexectomy
  • Laparoscopy
  • Natural orifice transluminal endoscopic surgery
  • Ovary
  • Vaginal

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