Evaluation of two conservative operations for ovarian endometrial cyst with infertility

Objective To evaluate the clinical effect of ovarian endometrial cystectomy with laparotomy or laparoscopic operation. Methods One hundred and eight cases of ovarian endometrial cyst with infertility underwent two approaches of cystectomy 61 cases received laparoscopic operation and 47 cases received laparotomy. The operative duration blood loss recovery and pregnancy rate with two approaches were retrospectively reviewed and compared. Results Patients who received laparoscopic cystectomy had higher pregnancy rate(40.0% vs 20.5% χ2=4.34,P0.05) less blood loss(53.0±20.5)ml vs (120.8±35.5)ml t=4.95,P0.05) quicker gas void(14.2±4.25)h vs (25.5±4.34)h t=1.86,P0.05) shorter operative duration (46.5±18.3)min vs (76.3±28.2)min t=3.23,P0.05),and shorter hospitalization(2.91±0.99)d vs (5.67±1.60)d,t=6.31 P0.01). The recurrence rate of cyst was same in two groups. Conclusion Laparoscopic cystectomy has more advantage in treatment of ovarian endometrial cyst with infertility over the laparotomy.