早期宫颈癌腹腔镜与开腹手术的临床比较分析  

Comparative analysis on laparoscopic and laparotomic surgery in treating early stage cervical carcinoma

作　　者：张莺[1] 金志军[1] 

机构地区：[1]第二军医大学长征医院妇产科,上海200003

出　　处：《中国内镜杂志》2006年第1期12-14,共3页China Journal of Endoscopy

摘　　要：目的探讨早期宫颈癌腹腔镜下广泛子宫切除术和盆腔淋巴结清扫术的临床价值。方法对19例Ⅰb￣Ⅱa期宫颈癌患者施行腹腔镜(8例)和开腹(11例)广泛子宫切除术和盆腔淋巴结清扫术,比较手术时间、出血量、术后恢复情况、术后住院时间及并发症发生等情况。结果8例腹腔镜手术均成功完成,无中转开腹。与开腹手术相比:切除的淋巴结个数多、肛门排气早、术后病率低、住院时间短,但手术时间长。结论早期宫颈癌腹腔镜下手术近期疗效令人满意,有临床应用价值。[Objective ] To investigate the clinical value of radical hysterectomy and pelvic lymphadenectomy by laparoscopic surgery in treating early stage cervical carcinoma. [Methods] 19 patients with stage Ⅰb-Ⅱ a cervical carcinoma were performed radical hysterectomy and pelvic lymphadenectomy. 8 cases were treated by laparuscopic surgery, and the other 11 cases were treated by laparotomic surgery. To compare the operating duration, operative blood loss, postoperative recovery, length of hospital stays and surgical complications. [Results] 8 cases of laparoscopic surgery were successful, no case was converted to laparotomy. To compare with laparotomy group, numbers of pelvic lymph nodes removed were more, recovery of bowel and bladder function was earlier, and postoperative morbidity was lower and length of hospital stays was shorter than the latter, but operating duration was longer than the latter. [ Conclusion] The effect of laparoscopic radical hysterectomy and pelvic lymphadenectomy in treating early stage cervical cancer is satisfactory. Laparoscopic surgery have clinical value.

关 键 词：早期宫颈癌 开腹手术 腹腔镜 

分 类 号：R737.33[医药卫生—肿瘤]