Learning Curve of Laparoscopic Myomectomy.

Song, Soo Jin; Kim, Cheol Ho; Kim, Sung Hee; Park, Eun Young; Park, Keun Sik; Moon, Hwa Sook; Kim, Kyung Seo; Joo, Bo Sun; Kim, Sang Gap

Search: Korean J Obstet Gynecol Search

CLOSE

Original Article

Korean Journal of Obstetrics & Gynecology 2003;46(12):2345-2351.
Published online December 1, 2003.

Learning Curve of Laparoscopic Myomectomy.

Soo Jin Song, Cheol Ho Kim, Sung Hee Kim, Eun Young Park, Keun Sik Park, Hwa Sook Moon, Kyung Seo Kim, Bo Sun Joo, Sang Gap Kim

¹Department of Obstetrics and Gynecology, Moonhwa Hospital, Busan, Korea.
²Center for Reproductive Medicine, Moonhwa Hospital, Busan, Korea.

Abstract

OBJECTIVE
To evaluate the effectiveness and feasibility of laparoscopic myomectomy compared to open myomectomy METHODS: A retrospective study of 85 cases of myomectomy was performed. Twenty six cases of open myomectomy (group I) and 59 cases of laparoscopic myomectomy (group II) were done by one main surgeon from 1996 to 2002 in the department of OBGYN at Moonhwa Hospital. Group II was divided into two subgroups, group IIA and group IIB. Group IIA included 17 cases of laparoscopic myomectomy done from 1996 to 1998 during learning period. Group IIB included 42 cases of laparoscopic myomectomy performed from 1999 to 2002 after learning period. RESULTS: There were no significant differences in age, parity, the number of myoma, and the size of myoma between groups I and II. The intensity of postoperative pain and febrile morbidity were significantly lower in group II than in group I (P<0.05). Mean operation time was significantly shorter in group I than in group II. However, after completing the learning curve, no significant difference was found in the operation time between group I and group IIB. Blood loss was significantly decreased in group II compared to group I (P<0.05). CONCLUSION: The learning curve for lasparoscopic myomectomy needed 17 cases and laparoscopic myomectomy could be an excellent minimally invasive method as an alternative of open myomectomy after learning curve.

Key Words: Laparoscopic myomectomy, Open myomectomy, Learning curve

TOOLS

Full text via DOI
Download Citation

Share :

METRICS

846 View
10 Download

Related articles in Obstet Gynecol Sci

Clinical experiences of pelviscopic myomectomy.1991 May;34(5)

A clinical survey of ectopic pregnancy.1992 July;35(7)

A clinical survey of ectopic pregnancy.1993 June;36(6)

Clinical application of laparoscopy in gynecology.1993 July;36(7)

Clinical Analysis of Laparoscopic assisted Vaginal Hysterectomy.1997 March;40(3)

ABOUT

ARTICLE & TOPICS

Article category

Browse all articles >

Topics

Browse all articles >

BROWSE ARTICLES

POLICY

FOR CONTRIBUTORS

Editorial Office: 4th Floor, 36 Gangnam-daero 132-gil, Gangnam-gu, Seoul 06044, Korea.
Tel: +82-2-2266-7238 Fax: +82-2-3445-2440 E-mail: journal@ogscience.org