Journal of the Chinese Medical Association : JCMA · 2026
Suprapubic laparoscopic-assisted myomectomy.
СтатьяСравнительное исследованиеНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Lee Chia-Chieh, Lai Tsung-Hsuan
Аннотация
BACKGROUND: Minimally invasive myomectomy offers significant perioperative benefits, including reduced pain and faster recovery. Current approaches include conventional laparoscopic myomectomy (LM), single-port LM, and mini-laparotomy. We developed a hybrid technique, termed suprapubic laparoscopic-assisted myomectomy (SLAM), that combines the superior visualization of laparoscopy with the tactile feedback and suturing efficiency of mini-laparotomy.
METHODS: This retrospective comparative study evaluated the clinical rationale, safety, and feasibility of SLAM compared with conventional LM. Patients underwent conventional LM or SLAM according to patient preference following shared decision-making (SDM). Patients with a body mass index (BMI) >30 or myoma(s) >10 cm were excluded. All the procedures were performed by a single surgeon. Statistical analyses were performed using Student's t test (results presented as mean ± SD with 95% CI), the χ 2 test, or Fisher's exact test.
RESULTS: Thirty-six patients with symptomatic uterine myomas were included, with 16 undergoing SLAM and 20 undergoing conventional LM. The average hospitalization duration was 4.19 ± 0.40 days for SLAM and 4.15 ± 0.49 days for LM ( p = 0.807). The operative time was comparable between the SLAM and LM groups (186.0 ± 59.3 minutes vs 213.8 ± 48.8 minutes; p = 0.133). Although estimated blood loss was lower in the SLAM group (140.6 ± 148.3 mL vs 197.5 ± 223.1 mL; p = 0.387), the difference did not reach statistical significance. Hemoglobin decrease was also comparable (1.14 ± 1.63 mg/dL vs 1.06 ± 1.87 mg/dL; p = 0.897). The blood transfusion rates were 18.8% (3/16) for the SLAM group and 15.0% (3/20) for the LM group ( p = 1.000). No major complications were observed in either group.
CONCLUSION: SLAM is a safe and feasible alternative to conventional LM and offers effective myometrial closure and specimen retrieval. While operative outcomes are comparable to conventional LM, SLAM provides a viable "hybrid" option for surgeons seeking to combine minimally invasive benefits with the precision of manual suturing.
METHODS: This retrospective comparative study evaluated the clinical rationale, safety, and feasibility of SLAM compared with conventional LM. Patients underwent conventional LM or SLAM according to patient preference following shared decision-making (SDM). Patients with a body mass index (BMI) >30 or myoma(s) >10 cm were excluded. All the procedures were performed by a single surgeon. Statistical analyses were performed using Student's t test (results presented as mean ± SD with 95% CI), the χ 2 test, or Fisher's exact test.
RESULTS: Thirty-six patients with symptomatic uterine myomas were included, with 16 undergoing SLAM and 20 undergoing conventional LM. The average hospitalization duration was 4.19 ± 0.40 days for SLAM and 4.15 ± 0.49 days for LM ( p = 0.807). The operative time was comparable between the SLAM and LM groups (186.0 ± 59.3 minutes vs 213.8 ± 48.8 minutes; p = 0.133). Although estimated blood loss was lower in the SLAM group (140.6 ± 148.3 mL vs 197.5 ± 223.1 mL; p = 0.387), the difference did not reach statistical significance. Hemoglobin decrease was also comparable (1.14 ± 1.63 mg/dL vs 1.06 ± 1.87 mg/dL; p = 0.897). The blood transfusion rates were 18.8% (3/16) for the SLAM group and 15.0% (3/20) for the LM group ( p = 1.000). No major complications were observed in either group.
CONCLUSION: SLAM is a safe and feasible alternative to conventional LM and offers effective myometrial closure and specimen retrieval. While operative outcomes are comparable to conventional LM, SLAM provides a viable "hybrid" option for surgeons seeking to combine minimally invasive benefits with the precision of manual suturing.