[Laparoscopic surgery in gynecology. Surgical reform of mere luxury? (Physiologic and economic effects of laparoscopic surgery)].

This study compared the physiological and economical effects of laparoscopic and open surgery. The laparoscopic minimally invasive technique reduced the trauma of the tissue, the homeostasis of the organism was less damaged, therefore the metabolic and inflammatory responses were reduced, the respiration and blood gas values were nearer to the normal ones than at laparotomy. These results can explain that laparoscopic surgery leads to less pain and quicker postoperative recovery than conventional surgery. The cost of laparoscopic operations on the adnexa and laparoscopic hysterectomy was compared with the cost of the same open operations. According to USA and British data after laparoscopic surgery hospital stay was reduced by 6-8 days, less drugs, blood and infusion were used, the duration of the sick leave and pay was shorter by 20-30 days. The laparoscopic method is not an unnecessary luxury. Today reliable data attest to values of operative laparoscopy.