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Laparoscopy versus laparotomy for benign ovarian tumours
L R Medeiros1, J M G Fachel, R Garry
1Social Medicine, Faculty of Medicine, Federal University of Rio Grande do Sul, Ramiro Barcelos 2300, Porto Alegre, Rio Grande do Sul, Brazil, 90035-000. lidia@portoweb.com.br
The Cochrane Database of Systematic Reviews
|July 22, 2005
Summary
Laparoscopic surgery for benign ovarian tumors offers reduced complications, pain, and hospital stays compared to laparotomy. While surgery may take longer, the benefits in recovery and cost-effectiveness are significant for patients.
Area of Science:
- Gynecologic Surgery
- Minimally Invasive Procedures
- Evidence-Based Medicine
Background:
- Laparoscopy is increasingly used for benign ovarian tumor removal.
- Uncertainty exists regarding its benefits and harms compared to laparotomy.
- This review assesses evidence for laparoscopic surgery in treating benign ovarian tumors.
Purpose of the Study:
- To determine the efficacy, safety, and cost-effectiveness of laparoscopic surgery versus laparotomy for benign ovarian tumors.
- To compare surgical outcomes, adverse effects, recovery, and economic impact.
- To synthesize findings from randomized controlled trials.
Main Methods:
- Searched electronic databases, trials registers, and reference lists.
- Included randomized controlled trials comparing laparoscopy and laparotomy for benign ovarian tumors.
- Three reviewers independently assessed eligibility, quality, and extracted data.
Main Results:
- Six trials with 324 patients were analyzed, including subgroups for dermoid cysts and endometriomata.
- Laparoscopy showed reduced febrile morbidity, overall complications, postoperative pain, and hospital stay.
- Shorter hospital stays and significant cost reduction were observed with laparoscopy, though surgery duration was longer.
Conclusions:
- Laparoscopic surgery for benign ovarian tumors is linked to decreased febrile morbidity, UTIs, complications, pain, and hospital costs.
- Findings suggest improved short-term recovery and economic benefits with laparoscopy.
- Results should be interpreted cautiously due to the small number of studies and patients.