Comparative study of laparoscopic oophorectomy.
OBJECTIVE
To determine the differences between laparoscopic oophorectomies and oophorectomies performed by laparotomy with respect to total hospital cost, length of hospital stay, and operative time.


METHODS
A prospective analysis of all women who underwent one of these procedures from January 1, 1992, to December 31, 1992.


METHODS
A university-affiliated hospital.


METHODS
Fifty-seven women requiring surgery for the management of pelvic pain, adnexal masses, or endometriosis.


METHODS
Twenty-six women underwent laparoscopic surgery and 31 had laparotomy.


RESULTS
The results for laparoscopy and laparotomy, respectively, were as follows: mean hospital cost $6139 versus $7053 (p = 0.02); hospital stay 1.07 versus 3.87 days (p = 0. 00); and mean operative time 175.23 versus 136.94 minutes (p = 0. 003). No woman had a serious complication, and none in the laparoscopy group required a laparotomy.


CONCLUSIONS
Laparoscopic oophorectomy is a safe, highly successful, and cost-effective procedure, although it is associated with a longer operative time than laparotomy.
Papasakelariou
C
C
University of Texas Medical School at Houston and University of Texas Medical Branch at Galveston, Texas, USA.
Saunders
D
D
De La Rosa
A
A
D000291:Adnexal Diseases / Q000601:surgery; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002277:Carcinoma / Q000601:surgery; D003362:Cost-Benefit Analysis; D004715:Endometriosis / Q000601:surgery; D005260:Female; D017721:Hospital Costs; D006801:Humans; D007431:Intraoperative Complications; D010535:Laparoscopy / Q000009:adverse effects / Q000191:economics / Q000379:methods; D007813:Laparotomy / Q000009:adverse effects / Q000191:economics / Q000379:methods; D007902:Length of Stay; D008875:Middle Aged; D010048:Ovarian Cysts / Q000601:surgery; D010049:Ovarian Diseases / Q000601:surgery; D010052:Ovariectomy / Q000009:adverse effects / Q000191:economics / Q000379:methods*; D017699:Pelvic Pain / Q000601:surgery; D011446:Prospective Studies; D012449:Safety; D013997:Time Factors; D000267:Tissue Adhesions / Q000601:surgery