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Comparative study of laparoscopic oophorectomy
C Papasakelariou1, D Saunders, A De La Rosa
1University of Texas Medical School at Houston and University of Texas Medical Branch at Galveston, Texas, USA.
Study Objective:
To determine the differences between laparoscopic oophorectomies and oophorectomies performed by laparotomy with respect to total hospital cost, length of hospital stay, and operative time.
Design:
A prospective analysis of all women who underwent one of these procedures from January 1, 1992, to December 31, 1992.
Setting:
A university-affiliated hospital.
Patients:
Fifty-seven women requiring surgery for the management of pelvic pain, adnexal masses, or endometriosis.
Interventions:
Twenty-six women underwent laparoscopic surgery and 31 had laparotomy.
Measurements And Main Results:
The results for laparoscopy and laparotomy, respectively, were as follows: mean hospital cost $6139 versus $7053 (p = 0.02); hospital stay 1.07 versus 3.87 days (p = 0. 00); and mean operative time 175.23 versus 136.94 minutes (p = 0. 003). No woman had a serious complication, and none in the laparoscopy group required a laparotomy.
Conclusion:
Laparoscopic oophorectomy is a safe, highly successful, and cost-effective procedure, although it is associated with a longer operative time than laparotomy.