Hidlebaugh D, O'Mara P, Conboy E
Fallon Fertility Center, 100 Central Street, Worcester, MA 01608, USA.
J Am Assoc Gynecol Laparosc. 1994 May;1(3):223-7. doi: 10.1016/s1074-3804(05)81014-x.
To analyze clinical results and financial costs of salpingo-oophorectomy performed by laparoscopy versus laparotomy.
Comparison of laparoscopic salpingo-oophorectomy with procedures performed by laparotomy.
St. Vincent's Hospital and Fallon Clinic in Worcester, Massachusetts.
Twenty women in both groups.
Salpingo-oophorectomies performed by laparoscopy and laparotomy.
Women undergoing laparotomy had a 25% rate of postoperative complications compared with 0% of those having laparoscopy. The duration of the procedures and hospital charges were similar for both groups. Length of hospital stay and time to return to work were significantly less after laparoscopy than laparotomy.
Laparoscopic salpingo-oophorectomy was associated with significantly fewer complications than the operations performed by laparotomy. Although women in the laparoscopy group had a shorter hospital stay, their higher charges were attributed to costly disposable instruments. Patients benefit from early return to work and other activities after laparoscopy.
分析腹腔镜与开腹输卵管卵巢切除术的临床结果和财务成本。
腹腔镜输卵管卵巢切除术与开腹手术的比较。
马萨诸塞州伍斯特市的圣文森特医院和法伦诊所。
两组各20名女性。
腹腔镜和开腹输卵管卵巢切除术。
开腹手术患者术后并发症发生率为25%，而腹腔镜手术患者为0%。两组手术时间和住院费用相似。腹腔镜手术后的住院时间和恢复工作时间明显短于开腹手术。
与开腹手术相比，腹腔镜输卵管卵巢切除术的并发症明显更少。虽然腹腔镜组女性的住院时间较短，但费用较高是由于一次性器械成本高。腹腔镜手术后患者能从早日恢复工作和其他活动中受益。
