ABSTRACT
Objective To discuss the clinical value of laparoscopic myomectomy.Methods We compared clinical data of laparoscopic myomectomy(Laparoscopic Group,n=185) with open myomectomy(Open Group,n=69),from December 2002 to February 2005,in respect of operative time,hemorrhage volume,time to normal temperature,recovery time of bowel movement,and duration of hospital stay.Results Conversions to open surgery were required in 2 cases in the Laparoscopic Group because of difficulties of hemostasis.There was no significant difference in the operative time(t=1.849,P=0.066) between the Laparoscopic Group(81.3?14.7 min) and the Open Group(77.2?18.1 min).The intraoperative hemorrhage volume was significantly less in the Laparoscopic Group(101.5?36.7 ml) than in the Open Group(154.5?61.1 ml)(t=-8.397,P=0.000).Shorter time to normal temperature,recovery time of bowel movement,and hospital stay were achieved in the Laparoscopic Group(2.7?0.8 d;13.8?5.4 d;6.0?1.5 d) than in the Open Group(3.8?1.0 d;23.3?6.0 d;8.0?2.0 d),with significant difference(t=-9.064,P=0.000;t=-12.074,P=0.000;t=-8.575,P=0.000).Follow-ups were conducted in 152 cases in the Laparoscopic Group for 13.2?8.7 months,which revealed 17 cases of recurrence(11.2%) and 17 cases of pregnancy within 1 year out of 57 cases of infertility(29.8%).As compared with the Laparoscopic Group,followups were conducted in 48 cases in the Open Group for(12.5?)7.9 months(t=0.511,P=0.610),which revealed 8 cases of recurrence(16.7%;?~2=1.003,P=0.317) and 4 cases of pregnancy within 1 year out of 16 cases of infertility(25.0%;?~2=0.004,P=0.949).Conclusions Laparoscopic myomectomy has advantages of micro-invasion,little blood loss,rapid postoperative recovery,and short hospitalization.However,it cannot entirely supersede the open myomectomy.