Comparative Study in Laparoscopic Oophorectomy
This study was undertaken to determine differences between laparoscopic oophorectomies and oophorectomies performed through a laparotomy in terms of total hospital cost, hospital length of stay, and operative time. From January 1, 1992 to December 31,1992, all patients (57) who had undergone oophorectomies in our hospital were included in the study. Twenty-six of these procedures were laparoscopic. The laparoscopy group had a mean hospital cost of $6,139.00 vs. $7,053.00 for the laparotomy group, a statistically significant difference. The hospital stay for the laparoscopy group was a mean of 1.07 days vs. 3.87 days for the laparotomy group, which was also statistically significant. Operative time for the laparoscopy group was a mean of 175.23 minutes vs. 136.94 minutes for the laparotomy group. This is statistically significant. None of the 57 women had a serious complication. This study demonstrates that laparoscopic oophorectomy is a safe, highly successful, and cost-effective procedure. However, our results indicate that laparoscopic oophorectomy is associated with longer operative times as compared with laparotomy.
Papasakelariou
C
Chairman, Department of Obstetrics, Gynecology, and Reproductive Sciences, St. Joseph Hospital, 1315 Calhoun, Suite 1300, Houston, TX 77002.
Saunders
D
De La Rosa A