Efficacy of video laparoscopy in the treatment of 121 severe pelvic endometriosis

Objective:To evaluate the efficacy of laparoscopy in the treatment of severe pelvic endometriosis. Methods:A total of 121 patients with endometriosis (R-AFS stage Ⅲ~Ⅳ) treated with laparoscopy were analyzed retrospectively,67 patients are stage Ⅲ,54 patients are stage Ⅳ. Results:All 121 patients were successfully treated by laparoscopy. The laparoscopic surgery included unilateral cystectomy in 46 cases,adnexectomy in 31 cases,remaining ovaries in 35 cases,radical surgery in 9 cases. The operating time was 15~100 min,30~126 min,40~120 min,mean of 61.97 min,77.14 min,81.11 min. The bleeding volume was 5~150 ml,10~100 ml,40~150 ml,mean of 65.78 ml,59.86 ml,100.56 ml. No serious complication occurred. In the 92 cases followed up,31 out of 51 patients with dysmenorrhoea completely released from the symptoms and 11 improved,the effective rate is 82.3%. 21 out of 45 infertile patients were impregnated,the cumulative pregnancy rate was 46.7%. Conclusions:Laparoscopic opera-tions,characterized by minimal invasion,rapid postoperative recovery and clinical efficacy,can be used in the treatment of pelvic endometriosis,especially associated with infertility.