OBJECTIVE: To compare operative laparoscopy vs. laparotomy for the treatment of @entity4134 . STUDY DESIGN: A retrospective review of all surgical cases who underwent operative laparoscopy or laparotomy for an adnexal mass during 1988-1995 at one multispecialty group practice. Preoperative screening for @entity1 over 45 included a CA-125 and ultrasound. If a malignant mass was encountered, it was immediately staged by laparotomy with the assistance of a surgical oncologist. During the study period 121 @entity1 underwent @entity43 and 284 @entity1 , oophorectomy. RESULTS: Laparoscopy was successfully completed in 118 of 127 (93%) oophorectomy and 71 of 72 (98%) of @entity43 @entity1 . The incidence of malignant lesions at operative laparoscopy was 2%. The hospital stay for @entity43 was significantly shorter for laparoscopy (0.8 vs. 3.1 days). Hospital stay for oophorectomy was significantly shorter for laparoscopy (0.8 vs. 4.1 days). Ovarian cystectomy by laparotomy resulted in slightly more total complications than did laparoscopy (8% vs. 1%). Oophorectomy by laparotomy resulted in significantly more total complications than did oophorectomy by laparoscopy (29% vs. 3%). The mean total charge for laparoscopic oophorectomy was  5,873 versus  7,007 for laparotomy. The mean total charge for laparoscopic @entity43 was  4,507 vs.  5,541 for laparotomy. CONCLUSION: Treatment of @entity4134 by operative laparoscopy can be performed safely, with reduced morbidity and @entity1 disability, and at a reduced cost. By having an oncologist backup in house, we have been able to convert most procedures to the laparoscopic approach.

Treating XXXX . Operative laparoscopy vs. laparotomy.

@entity1 :: ('9606', 'Species') :: ['women', 'patients', 'patient'] @entity43 :: ('MESH:D010051', 'Disease') :: ['ovarian cystectomy'] @entity4134 :: ('MESH:D000292', 'Disease') :: ['adnexal masses']
@entity4134 :: (MESH:D000292,Disease) :: ['adnexal masses']
