Comparison of Clinical Effects Between Minimally Invasive Laparoscopic Surgery and Laparotomy in Treating Ovarian Endometriosis Cysts

Objective: To compare the clinical effects of laparoscopic minimally invasive surgery and laparotomy in the treatment of ovarian endometriosis cysts. Methods: 66 patients with endometriosis cysts admitted to our hospital from December 2022 to December 2023 were selected as the study subjects and randomly divided into a control group (n = 33) and an observation group (n = 33). The control group was treated with laparotomy, and the observation group was treated with minimally invasive laparoscopic surgery. The surgical indexes, ovarian function indexes, and complications were observed. Results: All surgical indexes of the observation group (surgical time, intraoperative blood volume, hospital stay, postoperative antibiotic use time) were significantly better than the control group, (Pmean < 0.001). After surgery, the E2 score of ovarian function indexes in the observation group was higher than that in the control group, while the luteinizing hormone (LH) and follicle-stimulating hormone (FSH) levels were lower than those in the control (t = 5.246, t = 5.173, t = 3.535, Pmean < 0.001). Lastly, the overall incidence of complications in the observation group (1/3.03%) was lower than that in the control group (8/24.24%), (χ2 = 4.632, P < 0.05). Conclusion: Minimally invasive laparoscopic surgery is more effective than laparotomy in treating ovarian endometriosis.