title: Evaluation of the efficacy of laparoscopic resection for the management of exogenous cesarean scar pregnancy.
abstract: OBJECTIVE
  To retrospectively analyze the clinical data of 71 patients with exogenous cesarean scar pregnancy (CSP) treated in our hospital in the past 2 years, to compare the outcomes of exogenous CSP treated with different methods, and to evaluate the safety and feasibility of laparoscopic resection of exogenous CSP.
  
  
  METHODS
  Comparative observational study.
  
  
  METHODS
  Tertiary medical centers.
  
  
  METHODS
  71 women with exogenous cesarean scar pregnancy.
  
  
  METHODS
  Hysteroscopic resection of CSP, and laparoscopic resection of CSP.
  
  
  METHODS
  Operation time, intraoperative blood loss, postoperative drainage of the uterine cavity, postoperative days in hospital, time for β-human chorionic gonadotropin (β-hCG) to return to normal levels, absorption time of the mass.
  
  
  RESULTS
  For the laparoscopic group, the time for serum β-hCG to return normal levels and the postoperative drainage of the uterine cavity were significantly lower than in the patients who had undergone hysteroscopic resection. We found no statistically significant difference in the intraoperative blood loss and postoperative days in hospital between the two groups, but the operation time was longer in laparoscopic group.
  
  
  CONCLUSIONS
  Laparoscopic surgery for a cesarean scar pregnancy has the advantages of a high success rate, fewer complications, and a shorter time for β-hCG levels to normalize. This procedure is especially suitable for the treatment of exogenous CSP.
authors.affiliation: Department of Obstetrics and Gynecology, Shengjing Hospital of China Medical University, Shenyang, People's Republic of China.
authors.forename: Guangwei
authors.initials: G
authors.lastname: Wang
authors.affiliation: Shenyang Women's and Children's Hospital, Shenyang, People's Republic of China.
authors.forename: Xiaofei
authors.initials: X
authors.lastname: Liu
authors.affiliation: Department of Obstetrics and Gynecology, Shengjing Hospital of China Medical University, Shenyang, People's Republic of China.
authors.forename: Fangfang
authors.initials: F
authors.lastname: Bi
authors.affiliation: Department of Obstetrics and Gynecology, Shengjing Hospital of China Medical University, Shenyang, People's Republic of China.
authors.forename: Lili
authors.initials: L
authors.lastname: Yin
authors.affiliation: Department of Obstetrics and Gynecology, Shengjing Hospital of China Medical University, Shenyang, People's Republic of China.
authors.forename: Rina
authors.initials: R
authors.lastname: Sa
authors.affiliation: Department of Obstetrics and Gynecology, Shengjing Hospital of China Medical University, Shenyang, People's Republic of China.
authors.forename: Dandan
authors.initials: D
authors.lastname: Wang
authors.affiliation: Department of Obstetrics and Gynecology, Shengjing Hospital of China Medical University, Shenyang, People's Republic of China. Electronic address: yangq@sj-hospital.org.
authors.forename: Qing
authors.initials: Q
authors.lastname: Yang
mesh_terms: D000328:Adult; D002585:Cesarean Section / Q000009:adverse effects*; D002921:Cicatrix / Q000175:diagnosis / Q000453:epidemiology / Q000601:surgery*; D019468:Disease Management; D005240:Feasibility Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy / Q000379:methods / Q000592:standards*; D011247:Pregnancy; D012189:Retrospective Studies; D016896:Treatment Outcome; D055815:Young Adult
keywords: Exogenous cesarean scar pregnancy; hysteroscopy; laparoscopy