Clinical effects of laparoscopic surgery for the treatment of endometriosis and endometriosis-fertility: A retrospective study of 226 cases

Haiyan Li, Yingxue Han, Yuru Cai, Xiaojuan Su, Lixia Tan
Frontiers in surgery · 2023 · vol. 9 , pp. 1049119 · doi:10.3389/fsurg.2022.1049119 · PMID:36726953 · W4316662825
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

Laparoscopic surgery for endometriosis resulted in shorter hospital stays, less blood loss, fewer postoperative symptoms, and improved pregnancy rates compared to laparotomy.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 ⓘ

This retrospective study compared laparoscopic surgery (LS) versus laparotomy (LT) in 226 women with endometriosis treated at a single hospital from 2011–2013, assessing postoperative pain-related symptoms and pregnancy outcomes over 1 year. Across LS (n=176) and LT (n=50), operative time did not differ, but LS was associated with shorter hospital stay and less intraoperative blood loss, and the incidence of postoperative dysmenorrhea, dyschezia, dyspareunia, pelvic pain, and dysuria was lower. Pregnancy rates at 1 year were substantially higher after LS than after LT in both overall desired-fertility patients and infertility patients, with a shorter mean time to pregnancy in the LS group. The paper’s main limitation is its retrospective, nonrandomized design and the single-institution setting. This paper is centrally about endometriosis — it directly compares laparoscopic versus open surgery outcomes, including endometriosis-related infertility and postoperative symptom burden.

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Abstract

Introduction To determine the clinical effects of laparoscopic surgery (LS) in the treatment of endometriosis and endometriosis-fertility. Methods Two hundred twenty-six patients with endometriosis who underwent LS (LS group, n = 176) or laparotomy (LT group, n = 50) at the Third Hospital of Shijiazhuang City from June 2011 to June 2013 were included in this study, and their clinical outcomes for endometriosis and infertility were compared. All patients were followed up for 1 year after surgery to determine postoperative pregnancies in patients with endometriosis. Results The operative times between the LS and LT groups were not significantly different ( P > 0.05); however, the length of stay in the hospital and blood loss in the LS group were significantly different from the LT group ( P < 0.05). The incidence of postoperative symptoms were lower in the LS group than the LT group ( P < 0.05). The postoperative pregnancy rates in the two groups were significantly different, including the infertility patients ( P < 0.05). Conclusions Compared with LT, LS significantly reduced pain and improved the quality of life in women with endometriosis. These results can provide a reference for the clinical treatment of endometriosis.

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endometriosisinfertility

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