Comparison of treatment effect between lifting laparoscopic surgery and open surgery for uterus myoma

Objective To compare therapeutic effect on two surgical methods of uterus myoma between lifting laparoscopic surgery and open surgery, and evaluate the advantage,disadvantage and surgical indication for lifting laparoscopic surgery. Methods The clinical data of uterus myoma patients separately from lifting laparoscopic surgery(79 cases, group A) and open surgery (87 cases, group B) were retrospectively analyzed,the data such as total bleeding volume,operation time, anus exhausting time,postoperative hospitalization time, period of temperature returning to normal, and abdominal scar, catheter retention time and postoperative using analgesics were analyzed between two groups. Results The total bleeding volume,anus exhausting time,catheter retention time, period of temperature returning to normal, postoperative hospitalization time in group A [(58.4 ± 31.6) ml,(19.5 ± 2.5) h,(11.1 ± 2.5) h,(1.3 ± 0.8) d, (5.1 ± 1.9)d] were lower than those in group B [(99.1 ±45.6) ml, (35.8 ±4.0) h, (21.5 ±2.4) h, (2.6 ± 1.3) d,(10.4 ± 2.4) d](P ＜ 0.01). The postoperative using analgesics rate in group A was lower than that in group B [34.2%(27/79) vs. 66.7%(58/87)] (P ＜ 0.01), and abdominal scar was not obvious. Conclusion Lifting laparoscopic surgery treatment of uterus myoma is superior to the open surgery treatment. Key words: Laparoscopes;  Laparotomy;  Pregnancy, ectopic