[Laparoscopic or laparotomic surgery in the treatment of ovarian benign teratomas?]

The operation treatment of ovarian dermoid cysts by laparoscopy (examined group) and by laparotomy (control group) was compared. The mean size of teratomas measured by USG was similar: in the examined group 59 +/- 20 mm, in the control group 62 +/- 27 mm. There was no significant difference in the operation time: laparoscopy 65 +/- 27 min. (range 35-105 min.) and laparotomy 66 +/- 27 min. (range 40-120 min.). The antibiotic therapy both intra-operation and after operation was applied twice more frequent for laparotomy operated patients. The number of patients with post-operative fever was much higher in the control group (laparotomy: 7 patients--26.9%) than in examined group (laparoscopy: only 1 patient--3.9%). The hospitalization after operation was longer in the control group (mean: 6.8 +/- 3.7 days) than in examined group (mean: 3.1 +/- 2.8 days). Laparoscopic surgery is valuable operating method for selected teratomas in comparison with classical surgery.