Report of the Study Group: Advanced Operative Laparoscopy (Pelviscopy)

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Abstract
Laparoscopy, introduced as a procedure for diagnosis and sterilization purposes, may now serve for a wider range of operative procedures. This multicenter collaborative study, from community and university facilities, evaluates specific procedures: (salpingo-) oophorectomy (n = 98), salpingectomy and salpingotomy performed for noninfertility reasons (n = 139), and ovarian cystectomy for both simple cysts and endometriomas (n = 93). When compared with control groups undergoing laparotomy for similar indications, operative time was found to be similar, whereas total days in hospital, hospital charges, and length of time to complete recovery were found to be significantly less when performed by operative laparoscopy. Complications appear acceptable. The findings of this study indicate that the procedures of salpingectomy and salpingotomy, (salpingo-) oophorectomy, and ovarian cystectomy can be safely and efficiently performed endoscopically with significant cost advantages. (J GYNECOL SURG 5:353, 1989)