Single-port versus conventional multiport access prophylactic laparoscopic bilateral salpingo-oophorectomy in high-risk patients for ovarian cancer: a comparison of surgical outcomes

Figures & data

Table 1 Characteristics of the patients

Characteristics	SPAL (n=49)	MPL (n=50)
Age, mean (SD), years	45.30±7.67	45.74±8.19
BMI (SD), kg/m^2	23.80±2.2	22.22±1.7
Gene status:
BRCA1	30 (61.2%)	29 (58%)
BRCA2	15 (30.6%)	16 (32%)
Unknown	4 (8.2%)	5 (10%)
Breast cancer	25 (51%)	28 (56%)
Active treatment	12 (24.5%)	10 (20%)
CBCS	4 (8%)	6 (12%)

Note: Active treatment = chemotherapy.

Abbreviations: SPAL, single-port access laparoscopy; n, number; MPL, multiport access laparoscopy; SD, standard deviation; BMI, body mass index; CBCS, concurrent breast cancer surgery (quadrantectomy).

Table 2 Operative outcomes of SPAL versus MPL

Outcomes	SPAL-BSO (n=49)	MPL-BSO (n=50)	P-value
Operative time (minutes)	35.32±13	40.02±10	0.02
Time to enter the abdominal cavity (minutes)	4.15±2	9.12±3.10	<0.001
Time to specimen extraction (minutes)	1.15±1.5	5.30±3.10	<0.001
Length of stay (days)	1.95±0.35	2.38±0.43	0.08
Postoperative complications	0 (0%)	0 (0%)	–
Postoperative pain
Immediately postoperative	5.22±0.83	8.25±1.12	<0.001
At 6 hours	5.96±0.73	7.88±0.79	<0.001
At 12 hours	4.65±1.12	6.47±0.84	<0.001
At 24 hours	1.83±0.98	3.85±1.12	<0.001

Abbreviations: SPAL, single-port access laparoscopy; MPL, multiport access SPAL-BSO, single port access laparoscopy-bilateral salpingo-oophorectomy; MPL-BSO, multiport access laparoscopy-bilateral salpingo-oophorectomy.

Figure 1 Body Image Score at 1 week, 4 weeks, and 24 weeks after surgery.

Note: Body Image Score was significantly higher in the SPAL group in comparison to the MPL group at 1 week, 4 weeks, and 24 weeks after surgery, respectively. *P<0.001.
Abbreviations: SPAL-BSO, single port access laparoscopy-bilateral salpingo-oophorectomy; MPL-BSO, multiport access laparoscopy-bilateral salpingo-oophorectomy; SPAL, single-port access laparoscopy; MPL, multiport access laparoscopy; BIS, body image score.

Figure 2 Cosmetic satisfaction at 1 week, 4 weeks, and 24 weeks after surgery.

Notes: Cosmetic satisfaction was significantly higher in the SPAL group in comparison to the MPL group at 1 week, 4 weeks, and 24 weeks after surgery, respectively. *P<0.001.
Abbreviations: SPAL-BSO, single port access laparoscopy-bilateral salpingo-oophorectomy; MPL-BSO, multiport access laparoscopy-bilateral salpingo-oopho-rectomy; SPAL, single-port access laparoscopy; MPL, multiport access laparoscopy