{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T01:22:13Z","timestamp":1760059333964,"version":"build-2065373602"},"reference-count":20,"publisher":"MDPI AG","issue":"12","license":[{"start":{"date-parts":[[2025,6,7]],"date-time":"2025-06-07T00:00:00Z","timestamp":1749254400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Objective: This study aimed to introduce clinical experience using a new surgical technique, single-port access laparoscopic fundusectomy, a more efficient uterus-sparing surgical method for adenomyosis in patients with no plans for pregnancy. Methods: We performed single-port access laparoscopic myomectomy in 141 patients and single-port access laparoscopic fundusectomy in 124 patients and compared the surgical outcomes. Results: Significant differences in surgical outcomes were observed between the two operating methods. Operative time was 158.19 min (\u00b142.93) in the fundusectomy group and 179.11 min (\u00b156.95) in the adenomyomectomy group (p = 0.001). Estimated blood loss was 175.04 mL (\u00b1142.76) in the fundusectomy group and 347.97 mL (\u00b1409.78) in the adenomyomectomy group (p = 0.000). The fundusectomy group showed smaller uterus size and volume, and lower postoperative CA125 levels than the adenomyomectomy group for 24 months (p = 0.000). Conclusions: This study suggests that single-port access laparoscopic fundusectomy is more effective in terms of operative time, estimated blood loss, and postoperative CA125 decrease than single-port access laparoscopic adenomyomectomy.<\/jats:p>","DOI":"10.3390\/jcm14124044","type":"journal-article","created":{"date-parts":[[2025,6,9]],"date-time":"2025-06-09T05:54:05Z","timestamp":1749448445000},"page":"4044","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparison of Surgical Outcomes Between Single-Site Laparoscopic Adenomyomectomy and Fundusectomy: Experience from a Single Center"],"prefix":"10.3390","volume":"14","author":[{"given":"Jae Hyeok","family":"Jeong","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Yeonje Ilsin Hospital, Busan 04991, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoo Ri","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Yeonje Ilsin Hospital, Busan 04991, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bo Ram","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Yeonje Ilsin Hospital, Busan 04991, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ji Won","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Yeonje Ilsin Hospital, Busan 04991, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seung Yeon","family":"Oh","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Yeonje Ilsin Hospital, Busan 04991, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeong Hye","family":"Yun","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Yeonje Ilsin Hospital, Busan 04991, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Myoung Seok","family":"Han","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Yeonje Ilsin Hospital, Busan 04991, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yong Jung","family":"Song","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, School of Medicine, Pusan National University, Busan 46241, Republic of Korea"},{"name":"Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan 50612, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2364-5875","authenticated-orcid":false,"given":"Ki Hyung","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, School of Medicine, Pusan National University, Busan 46241, Republic of Korea"},{"name":"Biomedical Research Institute, Pusan National University Hospital, Busan 49241, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,6,7]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"543","DOI":"10.1016\/j.jmig.2023.03.015","article-title":"Pregnancy Outcomes after Uterus-sparing Operative Treatment for Adenomyosis: A Systematic Review and Meta-analysis","volume":"30","author":"Jiang","year":"2023","journal-title":"J. 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Online"}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/14\/12\/4044\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T17:48:18Z","timestamp":1760032098000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/14\/12\/4044"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,7]]},"references-count":20,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2025,6]]}},"alternative-id":["jcm14124044"],"URL":"https:\/\/doi.org\/10.3390\/jcm14124044","relation":{},"ISSN":["2077-0383"],"issn-type":[{"type":"electronic","value":"2077-0383"}],"subject":[],"published":{"date-parts":[[2025,6,7]]}}}