Transabdominal and Laparoscopic Myomectomy Comparative Analysis of 566 Cases

The purpose of our study here is introducing curative effect by comparing and analyzing abdominal type myomectomy and laparoscopic myomectomy. We have compared and analyzed 301 cases of abdominal type myomectomy and 265 cases of laparoscopic myomectomy which were in our hospital from January 2003 to December 2008. The study shows that the time of abdominal type myomectomy is 87.18±36.80 minutes, and the time of laparoscopic myomectomy is 81.56±30.71 minutes. There isn’t obvious difference between these two kinds of surgeries. The hemorrhagic volume in abdominal type myomectomy is 106.86±32.65 ml and the hemorrhagic volume in laparoscopic myomectomy is 85.23±30.37 ml. The hemorrhagic volume difference in these two kinds of surgeries is very important from the point of view of statistics (P<0.01). The average days which used to restore in abdominal type myomectomy is 2.85±1.73, and the average days which used to restore in laparoscopic myomectomy is 5.81±1.47. And the difference is also very important (P<0.01). We have concluded that the laparoscopic myomectomy has such advantages as small hurt, rapid restoration and no incision. On the other hand, the hemorrhagic volume is very low and the restoration-days are very low.