Comparative Analysis on Laparoscopic Myomectomy and Open Myomectomy

Objective To discuss the clinical value of laparoscopic myomectomy.Methods The operation time,volume of blood loss,temperature recovery time and hospitalization time of patients underwent laparoscopic myomectomy(laparoscopic group,n=21)and open myomectomy(open group,n=37)were compared.Results There was no significant difference in the operation time between the Laparoscopic Group(90.1±33.8 min)and the open group(83.7±30.5min),P0.05.The intraoperative blood loss in the Laparoscopic Group(71.1±38.5 ml)was significantly less than that in the open group(113.6±53.8),P0.01.The temperature recovery time and hospitalization time were(1.3±0.8 d,4.1±1.0 d)in the laparoscopic group and(2.8±1.4 d,7.6±1.7 d)in the open group,and there was statistically significant between the two groups P0.01.Conclusions Laparoscopic myomectomy has advantages of micro-invasion,little blood loss,rapid postoperative recovery,and short hospitalization time.However,it cannot entirely supersede the open myomectomy.