Objective: To analyze perioperative outcomes of laparoscopically assisted myomectomy. Design: Pilot study. Setting: Department of Obstetrics and Gynaecology, Endoscopic Training Centre, Hospital Kladno, Czech Republic. Material and methods: Eight consecutive women with fibromyoma were treated by laparoscopic assisted myomectomy. Laparoscopic surgery was performed based on size of fibromyoma over 6 cm. Results: The application of the operative technique of laparoscopically assisted myomectomy was effective in all out exception. In the studied group the mean operative time and the mean of weight of the specimen were 76 min (range 50 - 90) and 151,7 g (ragne 45 - 220), respectively. In one patient the relaparoscopy for bleeding was necessary. Conclusion: Laparoscopic assisted surgery is feasibile in women with fibromyoma and may also be considered for myomectomy.

        Key words: laparoscopically assisted myomectomy, fibromyoma