A comparative study of clinical variables and surgical technique cost between patients treated with either abdominal or laparoscopic hysterectomy

Authors

  • Hugo Salinas Hospital Clínico de la Universidad de Chile. Departamento de Obstetricia y Ginecología
  • Benjamín Naranjo Hospital Clínico de la Universidad de Chile. Departamento de Obstetricia y Ginecología
  • Jorge Pastén Hospital Clínico de la Universidad de Chile. Departamento de Obstetricia y Ginecología
  • Beatriz Retamales Hospital Clínico de la Universidad de Chile
  • Gonzalo Díaz Hospital Clínico de la Universidad de Chile
  • Lenka Franulic Hospital Clínico de la Universidad de Chile

Abstract

The purpose of the present study is to compare clinical and economic outcomes of abdominal versus laparoscopic hysterectomy. The study design was retrospective and observational, and it was conducted on 1.663 patients aged between 27 and 83 undergoing hysterectomy for benign gynecologic conditions between 1997-2005, at the Hospital Clínico of the University of Chile.

Of the 1.663 surgeries, 11,36% were laparoscopic hysterectomies and 88,63% accounted for abdominal hysterectomies. The global complication rate was 42,8%for abdominal hysterectomy and 16,4% for laparoscopic hysterectomy.

Laparoscopic hysterectomy offers advantages such as a fewer complications and a shorter hospital stay when compared to abdominal hysterectomy. However, its cost is significantly higher than that of the abdominal approach.

Keywords:

hysterectomy approaches, laparoscopic hysterectomy, abdominal hysterectomy, hysterectomy cost-benefit.

Author Biographies

Beatriz Retamales, Hospital Clínico de la Universidad de Chile

Interna Medicina

Gonzalo Díaz, Hospital Clínico de la Universidad de Chile

Interno Medicina

Lenka Franulic, Hospital Clínico de la Universidad de Chile

Interna Medicina