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Human Reproduction, Vol. 14, No. 1, 39-43, January 1999
© 1999 European Society of Human Reproduction and Embryology

How long does laparoscopic surgery really take? Lessons learned from 1000 operative laparoscopies

Asher Shushan1,2, Hossam Mohamed1 and Adam L. Magos1,3

1 Minimally Invasive Therapy Unit & Endoscopy Training Centre, University Department of Obstetrics and Gynaecology, The Royal Free Hospital, Pond St, Hampstead, London NW3 2QG, UK

The purpose of this study was to assess the operating time of the most common gynaecological laparoscopic procedures. We analysed retrospectively 1000 consecutive operative laparoscopies on a procedure-by-procedure basis. Diagnostic laparoscopy and laparoscopic sterilization were specifically excluded from the analysis. The various laparoscopic procedures were grouped and analysed under six major categories. The average operating time for all cases was 76.9 min (range 10–400). In 38 cases (3.8%) the laparoscopic procedure was converted to laparotomy. The average operating time for treating ectopic pregnancy and tubal disease was approximately 60 min (range 13–240). Surgery for endometriosis and ovarian cysts averaged 72 min (range 10–240). Laparoscopic myomectomy and hysterectomy averaged 113 and 131 min respectively (range 25–400). Our results show that while the operating time for most operative laparoscopies is less than 75 min, the range of operating times is great. The relative lack of predictability in procedure times means that the efficient utilization of fixed theatre sessions is difficult.

Key words: laparoscopic surgery/procedure time

2 Present address: Department of Gynaecology, Hadassah Medical Centre, P.O.Box 12000, Jerusalem, 91120, Israel

3 To whom correspondence should be addressed


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A. Shushan, H. Mohamed, and A. L. Magos
A case-control study to compare the variability of operating time in laparoscopic and open surgery
Hum. Reprod., June 1, 1999; 14(6): 1467 - 1469.
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