Estudio comparativo de variables clínicas y costo de la técnica quirúrgica de histerectomía por vía abdominal y laparoscópica

Abstract

The purpose of the present study is to compare clinical and economic outcomes of abdominal versus laparoscopic hysterectomy. The study design was retrospective and observational, and it was conducted on 1.663 patients aged between 27 and 83 undergoing hysterectomy for benign gynecologic conditions between 1997-2005, at the Hospital Clínico of the University of Chile.Of the 1.663 surgeries, 11,36% were laparoscopic hysterectomies and 88,63% accounted for abdominal hysterectomies. The global complication rate was 42,8%for abdominal hysterectomy and 16,4% for laparoscopic hysterectomy.Laparoscopic hysterectomy offers advantages such as a fewer complications and a shorter hospital stay when compared to abdominal hysterectomy. However, its cost is significantly higher than that of the abdominal approach.