Chi-Chang Chang1, Wency Chen. 1. Department of Obstetrics and Gynecology, E-DA Hospital, Yan-Chau Shiang, Taiwan.
Abstract
OBJECTIVE: To compare operative data and operative and clinical outcomes of laparoscopic myomectomy (LM) with those of open myomectomy (OM). METHODS: In a retrospective study, the records of 81 women who underwent LM and 74 women who underwent at E-DA Hospital, Yan-Chau Shiang, Taiwan, from June 2004 to October 2007 were reviewed. Patient demographic, intraoperative, and postoperative data were compared between the 2 surgical groups. RESULTS: The mean ± SD age of patients in the OM and LM groups was 40.08 ± 6.49 years and 41.14 ± 6.46 years, respectively. Median (range) surgical time and blood loss were both significantly less in the LM group than in the OM group (100 min [73-120 min] versus 120 min [90-146 min], and 100mL [100-200 mL] versus 150 mL [100-305 mL], respectively). Thirteen patients in the OM group required a blood transfusion, compared with 1 in the LM group. There was no difference in complications or recurrences between the 2 groups. CONCLUSION: Compared with OM, LM was found to be associated with shorter surgical time and less blood loss, but there was no difference in the rate of complications or recurrence between the 2 groups.
OBJECTIVE: To compare operative data and operative and clinical outcomes of laparoscopic myomectomy (LM) with those of open myomectomy (OM). METHODS: In a retrospective study, the records of 81 women who underwent LM and 74 women who underwent at E-DA Hospital, Yan-Chau Shiang, Taiwan, from June 2004 to October 2007 were reviewed. Patient demographic, intraoperative, and postoperative data were compared between the 2 surgical groups. RESULTS: The mean ± SD age of patients in the OM and LM groups was 40.08 ± 6.49 years and 41.14 ± 6.46 years, respectively. Median (range) surgical time and blood loss were both significantly less in the LM group than in the OM group (100 min [73-120 min] versus 120 min [90-146 min], and 100mL [100-200 mL] versus 150 mL [100-305 mL], respectively). Thirteen patients in the OM group required a blood transfusion, compared with 1 in the LM group. There was no difference in complications or recurrences between the 2 groups. CONCLUSION: Compared with OM, LM was found to be associated with shorter surgical time and less blood loss, but there was no difference in the rate of complications or recurrence between the 2 groups.