Objectives To compare laparoscopic‐assisted myomectomy with myomectomy by laparotomy. Design Non‐prospective study. Patients Women with large uterine myoma of >16 weeks. Interventions Laparoscopic‐assisted myomectomy (n = 31) and myomectomy by laparotomy (n = 29). Results The mean diameter and the weight of the myoma were 12.7 ± 3.5 cm and 267.5 ± 36.0 g in the laparoscopy‐assisted myomectomy group and 9.1 ± 0.6 cm and 332.6 ± 62.9 g in the laparotomy group. The mean length of hospital stay was significantly shorter in women who underwent laparoscopic‐assisted myomectomy (3.2 ± 0.2 days) than in those who underwent myomectomy by laparotomy (5.1 ± 0.3 days). Conclusions Laparoscopic‐assisted myomectomy is as effective as myomectomy by laparotomy, but it is associated with a smaller abdominal incision and shorter hospital stay.
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Tulandi et al. (1997) studied this question.