Abstract
Objective: To examine the operative outcomes of laparoscopic salpingotomy for ampullary tubal pregnancy.
Methods: Using a retrospective cohort, we examined 142 patients who underwent laparoscopic salpingotomy for ampullary tubal pregnancy at Sendai City Hospital and NTT East Japan Tohoku Hospital between March 2000 and July 2011. Of the 142 patients, 106 had intraoperative injection of local methotrexate (MTX).
Results: Laparoscopic salpingotomy was completed in 142 patients, but in 3 cases (2.1%), the surgery was converted to salpingectomy. There were 127 of 142 patients who had an uneventful postoperative course, while 15 patients (10.6%) were diagnosed with persistent ectopic pregnancy (PEP). PEP occurred in 9 (8.5%) of the 106 patients who received local MTX treatment. There were 116 patients who underwent hysterosalpingography or second look laparoscopy, and in 98 (84.5%) of them, the patency of the treated tube was confirmed. Postoperatively, 55 patients achieved pregnancy.
Conclusion: Laparoscopic salpingotomy for ampullary tubal pregnancy can be considered a useful surgical procedure to preserve fallopian tube function when careful management is performed.
