Impact on ovarian reserve after minimally invasive single-port
laparoscopic ovarian cystectomy in patients with benign ovarian cysts: A
systematic review and meta-analysis
Abstract
Background/Aim: The purpose of this article is to review the published
literature on single-port laparoscopic (SPL) ovarian cystectomy and to
assess whether the reduced port number affects the ovarian reserve in
comparison with the conventional multiport laparoscopic (MPL) ovarian
cystectomy. Materials and methods: Serum anti-Müllerian hormone (AMH)
had been proposed as the most accurate marker of ovarian reserve. A
review of the current literature was performed based on the preoperative
and postoperative AMH after SPL and MPL ovarian cystectomy in adult
patients with benign ovarian cysts. Results: Ovarian cystectomy causes a
non-statistically significant reduction in AMH levels four weeks
postoperatively in the SPL group compared to MPL group[MD=0.11, 95%CI
(-0.01, 0.24), p=0.07] . Operative time was significantly longer and
blood loss was significantly higher in SPL group. No difference was
found to major or overall postoperative complications between the two
groups Conclusion: SPL cystectomy recommended as a safe surgical choice
for patients who want to preserve their fertility.