Single-Port Laparoscopic Surgery versus Laparotomy for the Treatment of Large Ovarian Cysts during Pregnancy: A Retrospective Comparative Study

Objective To investigate the safety and feasibility of single-port access laparoscopic surgery for the treatment of large ovarian tumors during pregnancy. Methods In total, 12 patients who underwent Single port access laparoscopic surgery(group 2) for large Ovarian tumors between January 2021 and July 2022 were compared to control group comprising 16 laparotomy treatment(group1) that were performed during the same period. We retrospectively analyzed multiple clinical characteristics and operative outcomes of all the patients, including age, body mass index, size and pathological type of Ovarian tumors, operative time, estimated blood loss (EBL), duration of postoperative hospital stay, etc. Results No statistically significant differences were observed between the two groups in terms of preoperative baseline characteristics. The mean (SD) cyst diameter in Group 1 was 12.44 (6.13) cm, while in Group 2, it was 10.58 (1.83) cm. Comparable surgical outcomes were achieved in both groups. However, operative time was significantly shorter in Group 2 compared to Group 1, at 95.31 (17.82) minutes versus 56.00 (15.06) minutes (p < 0.05). Blood loss was significantly lower in Group 2 compared to Group 1, at 12.08 (6.20) mL versus 33.13 (19.57) mL (p < 0.05). Additionally, the mean hospital stay was shorter in Group 2 compared to Group 1, at 7.88 (0.96) days versus 4.00 (0.95) days (p < 0.05). Conclusion Our results suggest that Single port access laparoscopic surgery for large Ovarian tumors during pregnancy may be a safe and feasible alternative to laparotomy treatment.