A Comparative Analysis of Laparoscopic and Abdominal Myomectomy

Objective To analyze the curative effects of laparoscopic and open myomectomy. Methods The clinical data of laparoscopic myomectomy( n = 75) and abdominal myomectomy( n = 82) from January 2008 to January 2010 was analyzed retrospectively. Results Conversions to open surgery were required in 2 cases in the laparoscopic group. The operative time was shorter in the open group than in the laparoscopic group( P0. 05). The intraoperative haemorrhage volume was less in the laparoscopic group than in the open group( P0. 05). Shorter time in the recovery of bowel movement and hospital stay were achieved in the laparoscopic group than in the open group( P0. 05). The persons with postoperative highest temperature 37. 8℃ were fewer in the laparoscopic group than in the open group( P = 0. 012). The hospitalization cost was significantly less in the open group than in the laparoscopic group( P 0. 05). There was no significant difference in the postoperative recurrency and pregnancy rate between the laparoscopic group and the open group( P0. 05). Conclusion Though laparoscopic myomectomy has advantages of micro- incision,less bleeding,rapid postoperative recovery and short hospitalization,it cann ' t completely supersede the open myomectomy.