ORIGINAL RESEARCH article
Front. Med.
Sec. Obstetrics and Gynecology
Volume 12 - 2025 | doi: 10.3389/fmed.2025.1617194
Dual-port laparoscopic myomectomy: A balanced yet potentially more optimal surgical approach
Provisionally accepted
Ying Liu1
Zhang Qiang1Biao Huang2
Xin Li3*Tianjiao Liu1Lijuan Xu1Xiaoyan Liao1Jianmei Liao1Wei Cheng1Hui Wang1
Juan Huang1Tenglan Wu1Yan Liu1Jie Yu1
Yonghong Lin1Xiaoqin Gan1*- 1Chengdu Women and Children’s Central Hospital, Chengdu, Sichuan Province, China
- 2Chongqing Medical University, Chongqing, China
- 3West China Second University Hospital, Sichuan University, Chengdu, China
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Objective: This study aimed to compare the perioperative outcomes of Single-incision laparoscopic surgery (SILS) and dual-port laparoscopic myomectomy in patients with solitary uterine fibroids.Methods: This retrospective observational study included 162 patients who underwent laparoscopic myomectomy for solitary fibroids January 2022 to December 2023 at a single tertiary center. Patients were divided into a SILS group (n = 77) and a dual-port group (n = 85). Perioperative outcomes-including operative time, intraoperative blood loss, analgesic use, hospital stay, and cosmetic results-were compared between groups. Multivariate linear and logistic regression analyses were conducted to identify factors associated with surgical complexity and recovery.The dual-port group had significantly lower intraoperative blood loss (41.71 ± 65.37 ml vs. 89.55 ± 93.70 ml, p < 0.001), lower rates of postoperative analgesic use (24.7% vs. 40.3%, p = 0.034), and shorter hospital stays (1.07 ± 0.30 vs. 1.30 ± 0.65 days, p = 0.005) compared to the SILS group. Fibroid size and procedure time were independent predictors of increased bleeding. Posterior wall fibroids were significantly associated with postoperative analgesic use. Delayed discharge was more common in patients with larger fibroids and those requiring postoperative analgesia.Cosmetic outcomes in the dual-port group remained favorable despite the auxiliary incision.Dual-port laparoscopic myomectomy is a feasible and potentially more effective alternative to single-incision surgery, offering better ergonomic access, improved perioperative outcomes, and excellent cosmetic results. This approach may be especially advantageous when addressing large or posteriorly located fibroids.Individualized surgical planning remains essential to optimize outcomes in minimally invasive myomectomy.
Keywords: Dual-port laparoscopy, Single-incision laparoscopy, Myomectomy, minimally invasive surgery, Perioperative outcomes
Received: 24 Apr 2025; Accepted: 23 Jun 2025.
Copyright: © 2025 Liu, Qiang, Huang, Li, Liu, Xu, Liao, Liao, Cheng, Wang, Huang, Wu, Liu, Yu, Lin and Gan. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Xin Li, West China Second University Hospital, Sichuan University, Chengdu, China
Xiaoqin Gan, Chengdu Women and Children’s Central Hospital, Chengdu, Sichuan Province, China
Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.