The application of laparoscopic minimally invasive surgery in the treatment of gynecologic disease

Abstract

Objective To investigate the clinical application value of laparoscopic minimally invasive surgery in the treatment of gynecologic disease.Methods The clinical data of 415 patients with laparoscopic surgery(laparoscopic group) and 187 patients with laparotomy at the same period (laparotomy group) because of gynecologic disease were analyzed,and the operative time,blood loss,postoperative passage of flatus,postoperative pain,postoperative complication rate,hospital days and average cost of hospitalization were compared.Results The operative time,blood loss,postoperative passage of flatus,postoperative pain,hospital days and average cost of hospitalization and postoperative complication rate of laparoscopic group was (35.1 ± 8.8) min,(56.8 ± 4.3) ml,(25.0 ± 6.0) h,(4.0 ± 3.0) d,(3 894.7 ± 1 028.5) yuan,1.9％,respectively,and shorter than those of laparotomy group [(50.2 ± 12.3) min,(83.5 ±23.7)ml,(58.0±30.0)h,(14.0±8.0)d,(6 628.1 ±1 834.9)yuan,8.2％] (t =2.366,2.154,6.903,10.501,7.674,3.095,all P ＜ 0.05);The postoperative passage of flatus had no significant difference between the two groups (t =0.843,P ＞ 0.05).Conclusion Laparoscopic minimally invasive surgery can be safely and effectively utilized in gynecologic diseases for its little injury,shorter operative time,less bleeding,less pain,less complications and quicker recovery and so on,and it should be worth of clinical promotion. Key words: Laparoscope ; Gynaecology; Minimally invasive