Comparative Analysis of Laparoscopy Versus Laparotomy Approaches in Treating Ectopic Pregnancy

Abstract

Objective: To compare and analyze the effects of laparotomy (AS) and laparoscopic surgery (LS) on ectopic pregnancy (EP). Methods: The surgical trial initiated case extraction in January 2017 and concluded in May 2023. The subjects comprised 30 cases of EP, categorized into two groups of 15 cases each based on the selected surgical method during treatment for subsequent analysis and comparison. EP patients in Group A chose AS surgical treatment, while those in Group B opted for LS surgical treatment. The perioperative parameters, complication ratio, survival status score (SF-36), and postoperative curative effect values were compared between the two groups of EP patients. Results: Throughout the perioperative period, various parameters such as blood loss level, operation time, abdominal pain relief time, ambulation time, catheterization time, exhaust time, and hospitalization time were recorded and compared between the two groups of EP patients. Complication ratios were documented and compared in EP patients from both groups post-operation. The test results indicated a lower value for complications in Group B (P < 0.05). SF-36 scores of EP patients in both groups were assessed and compared post-operation, with the test result indicating a higher value for Group B (P < 0.05). The postoperative curative effects of EP patients in both groups were evaluated and compared, revealing overall similarity between the two groups (P > 0.05). Conclusions: The curative effects of AS and LS surgery in EP are similar, but LS surgery demonstrates better prevention and control of complications, reduced bleeding and trauma, and faster postoperative body recovery. Consequently, the prognosis and survival status are superior in LS surgery, providing valuable reference points.