摘要
目的:探讨腹腔镜手术治疗早期子宫内膜癌的可行性。方法:回顾分析2007年7月至2010年7月手术治疗43例早期子宫内膜癌患者的临床资料,其中19例行腹腔镜分期手术,24例行开腹手术,对比分析两组手术时间、术中出血量、胃肠功能恢复时间、术后病率、切口感染率、清扫淋巴结数量、术后住院时间、住院总费用等。结果:两组患者年龄、体重指数、分期、内科合并症(糖尿病、高血压)、淋巴结清扫数量、随访时间等差异无统计学意义;腹腔镜组术中出血量、排气时间、术后住院时间明显优于开腹组。结论:早期子宫内膜癌腹腔镜手术安全可行,具有术中出血少、住院时间短等优点,值得临床推广。
Objective：To investigate the feasibility of laparoscopic surgery in treatment of early endometrial carcinoma. Methods：The clinical data of 43 patients who underwent surgery due to early endometrial cancer from Jul. 2007 to Jul. 2010 were retrospec-tively analyzed, including 19 cases of laparoscopic staging surgery and 24 cases of open surgery. The 2 groups were compared with operative time,blood loss, recovery time of gastrointestinal function, postoperative disease rate, incisional wound infection rate, number of harvested lymph node,postoperative hospital stay,total costs,etc. Results：There were no statistically significant difference betw6en the two groups in age, body mass index, stages, medical complications （ diabetes, hypertension） , number of harvested lymph node and follow-up time. The blood loss, exhaust time, postoperative hospital stay in laparoscopic group was better than open group. Conclusions ： Laparoscopic surgery as a preferred choice for early endometrial carcinoma is safe and feasible.
出处
《腹腔镜外科杂志》
2011年第9期653-655,共3页
Journal of Laparoscopic Surgery
