A clinical analysis of the recent 6,665 cases of diagnostic laparoscopy form the June, 1987 to March, 1994 was performed and we previous 5,000 cases from June, 1974 to May, 1987. Infertility was the most common indication(67.9%, 52.5%). Pelvic
abnormalities were found in 84.5% of 3,391 infertile patients and 85.5% of 3,500 infertile patients, respectively, and tubal occlusion and pelvic adhesions were the most common abnormalities. With regard to the tubal patency, there was a
discrepancy
rate between laparoscopic and hysterosalpingographic findings in 23.0% of 1,976 inferitle patients and 24.5% of 2,600 infertile patients, respectively. In 55.8% of 369 patients and 86.7% of 249 patients with the suspected ectopic pregnancy, the
diagnosis was confirmed by laparoscopic examination. And laparoscopic evaluation could circumvent the unnecessary laparotomy in 33.1% and 34.8% of patients, respectively. The error in prelaparoscopic diagnosis of the obscure pelvic mass was 29.4%
and
6.64%, respectively, and laparotomy could be avoided in 17.1% and 7.33% following laparoscopic examination.
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