Articles Tập 67 Số CĐ16 02/11/2026

OUTCOMES OF LAPAROSCOPIC SURGERY FOR ECTOPIC PREGNANCY AT THE NATIONAL HOSPITAL OF OBSTETRICS AND GYNECOLOGY

Sinouan Latsavong, Pham Ba Nha, Nguyen Thu Huong, Vu Thi Hong Chinh, Nguyen Thi Hien
DOI: 10.52163/yhc.v67iCD16.6930
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Abstract

Objective: To describe clinical and paraclinical characteristics and evaluate treatment outcomes of laparoscopic surgery for ectopic pregnancy at the National Hospital of Obstetrics and Gynecology.

Methods: A descriptive cross-sectional study was conducted among 102 patients with ectopic pregnancy treated by laparoscopic surgery from July 2025 to June 2026.

Results: The mean age of the patients was 32.4 ± 6.0 years. Delayed menstruation (76.5%), abnormal vaginal bleeding (71.6%) and abdominal pain (68.6%) were common. The first βhCG median was 1341 mIU/mL; 83.3% of adnexal masses on ultrasound were < 3 cm. At laparoscopy, 81.4% were ampullary pregnancies, 68.6% were unruptured and 23.5% had pelvic adhesions. Mean operative time was 45.6 ± 14.2 minutes and mean postoperative hospital stay was 2.2 ± 0.8 days. No conversion to laparotomy, blood transfusion, intraoperative accident or postoperative complication was recorded; favorable early outcome was 100%.

Conclusion: Laparoscopic surgery yielded favorable early outcomes in selected patients with ectopic pregnancy. History of abdominal surgery and pelvic adhesions should be assessed carefully before surgery.

Keywords
Ectopic pregnancy, laparoscopy, treatment outcome, βhCG, pelvic adhesion.
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