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Comparative Study in Laparoscopic Oophorectomy
Papasakelariou1, Saunders, De La Rosa A
1Chairman, Department of Obstetrics, Gynecology, and Reproductive Sciences, St. Joseph Hospital, 1315 Calhoun, Suite 1300, Houston, TX 77002.
Summary
Laparoscopic oophorectomy is a safe, cost-effective procedure with shorter hospital stays compared to laparotomy. However, it involves longer operative times.
Area of Science:
- Gynecology
- Minimally Invasive Surgery
Background:
- Oophorectomy is a common gynecological procedure.
- Traditional laparotomy approaches can lead to longer hospital stays and higher costs.
Purpose of the Study:
- To compare laparoscopic oophorectomy with laparotomy in terms of cost, hospital stay, and operative time.
- To evaluate the safety and effectiveness of laparoscopic oophorectomy.
Main Methods:
- Retrospective study of 57 patients undergoing oophorectomy between January 1, 1992, and December 31, 1992.
- Comparison of 26 laparoscopic procedures with 31 laparotomy procedures.
- Analysis of total hospital cost, hospital length of stay, and operative time.
Main Results:
- Laparoscopic oophorectomy resulted in significantly lower mean hospital costs ($6,139) compared to laparotomy ($7,053).
- Hospital stay was significantly shorter for laparoscopy (1.07 days) versus laparotomy (3.87 days).
- Operative time was significantly longer for laparoscopy (175.23 minutes) compared to laparotomy (136.94 minutes).
Conclusions:
- Laparoscopic oophorectomy is a safe, successful, and cost-effective alternative to laparotomy.
- The benefits of reduced hospital stay and cost outweigh the longer operative time associated with laparoscopy.