A prospective comparative study of cosmetic satisfaction for three different surgical approaches

作者：Song Taejong; Park Jin Young; Kim Tae Joong^*; Lee Yoo Young; Choi Chel Hun; Lee Jeong Won; Bae Duk Soo; Kim Byoung Gie

来源：European Journal of Obstetrics & Gynecology and Reproductive Biology, 2015, 190: 48-51.

DOI：10.1016/j.ejogrb.2015.04.014

• Cosmetic satisfaction
• Laparoendoscopic single-site surgery
• Laparoscopy

Objectives: To compare gynecologic patients' cosmetic satisfaction with surgical wounds after different approaches: laparoendoscopic single-site surgery (LESS), conventional laparoscopic surgery (CLS) and open surgery (OS).
Study design: This was a prospective study. The primary outcome was the cosmetic satisfaction after LESS, CLS, or OS, measured at 1 and 6 months post-surgery using the well-validated Cosmetic Scale. Multiple linear regression analysis was used to determine whether the surgical approach was independently associated with cosmetic satisfaction or not.
Results: Of 294 patients enrolled, 84(28.6%), 129(43.9%), and 81 patients (27.3%) underwent LESS, CLS, and OS, respectively. Cosmetic Scale scores in the LESS group at 1 month post-surgery was about 7 higher than in the CLS group and 9 higher than in the OS group (P < 0.001). This difference was maintained also at 6 months post-surgery (P < 0.001). On multiple linear regression analysis, the surgical approach was independently associated with postoperative cosmetic satisfaction (P < 0.001).
Conclusion: Our study found that cosmetic satisfaction after LESS was highest, followed by CLS, then OS. Therefore, physicians should more assertively discuss and consider LESS for gynecologic diseases.

• 出版日期2015-7