title: Comparative study of laparoscopic oophorectomy.
abstract: 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.
authors.affiliation: University of Texas Medical School at Houston and University of Texas Medical Branch at Galveston, Texas, USA.
authors.forename: C
authors.initials: C
authors.lastname: Papasakelariou
authors.forename: D
authors.initials: D
authors.lastname: Saunders
authors.forename: A
authors.initials: A
authors.lastname: De La Rosa
mesh_terms: 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