Conclusions
Based on the outcomes of the present meta-analysis supports the use of
SPL as an alternative method to conventional laparoscopy in women with
benign ovarian cysts because does not affect the serial change of the
serum AMH level. Due to the limited number of the included studies and
their primarily retrospective nature the aforementioned outcomes must be
interpreted with caution. Further studies with a longer-term follow-up
of the ovarian reserve after surgery are needed in the field to clearly
evaluate each distinct parameter of the two approaches and to indicate
the optimal one for women with fertility problems.