Is It Possible To Conduct the Advanced Minimally-Invasive Laparoscopic Surgery?

This study aimed to review the clinical outcomes of the advanced minimally-invasive laparoscopic surgery. 35 patients underwent Laparo-Endoscopic Single Site Myomectomy (LESS-M) and 35 patients underwent Smaller and Lesser Incision Laparoscopic Myomectomy (SLIM). There were no statistically significant differences in age, BMI, weight and number of removed myoma nodules between the two groups. There was no significant difference in the operative time and blood loss between the two groups. There was also no significant difference in pre and post-operative WBC count, but CRP 3 days after surgery was significantly higher in the LESS-M group with 2.01±1.3mg/dl, compared to the SLIM group with 1.43±1.2mg/dl (P=0.038). The epidural administration count for postoperative pain was higher in the LESS-M group with 2.0±2.5 times, than 1.0±1.5 times in the SLIM group (P=0.048). The enlarged wound in the umbilicus for collection of the myoma in LESS-M group was invasive and caused post-operative pain.