早期卵巢恶性肿瘤腹腔镜全面确定分期手术9例报告

Laparoscopic Comprehensive Surgical Staging of Apparent Early-Stage Ovarian Malignant Tumor:A Nine-Case Report

目的:探讨早期卵巢恶性肿瘤腹腔镜全面确定分期手术的可行性和近期疗效。方法:回顾性分析术中诊断为FIGOI期的卵巢恶性肿瘤而立即进行腹腔镜全面确定分期手术病例的临床病理和随访资料。结果:所有手术均顺利完成,无中转开腹和术中并发症。手术时间311.11min±34.26min,术中出血量183.33ml±111.80ml,术后HGB降低4.00g±7.95g/L,盆腹腔淋巴结数22.78个±8.18个,术后胃肠功能恢复时间2.11天±0.33天,术后病率4/9例,发生败血症1例,术后住院时间14.67天±4.00天;随访8个月～22个月,未发现复发。结论:早期卵巢恶性肿瘤腹腔镜全面确定分期手术是安全可行的,具有恢复较快的优势,但肿瘤治疗效果有待观察。

Objective： To investigate the feasibility and short-term effectiveness of laparoscopic comprehensive surgical staging of apparent early-stage ovarian malignant tumor. Methods： 8 patients with apparent stage Ia-Ic ovarian epithelial carcinoma and 1 patient with apparent stage la ovarian granulosa cell tumor were underwent laparoscopic comprehensive surgical staging according to the FIGO guideline. The clinical pathology and follow-up data of them were analyzed retrospectively. Results： All operative procedures were completed successfully with no conversion to open surgery and no major intraoperative complications. Operative room time averaged 311.11 ± 34.26min, intraoperative bleeding loss was 183.33 ± 111.80ml, hemoglobin decline after surgery was 4.00 ± 7.95g/L, number of pelvic lymph nodes was 22.78 ± 8.18, gastrointestinal function recovered in 2.11 ± 0.33 days after surgery, postoperative morbidity was 4/9, one case developed septicemia, hospital stay was 14.67 ± 4.00 days. No recurrence developed after 8-22 months＇ follow-up. Conclusion： Laparoscopic comprehensive surgical staging of apparent early-stage ovarian malignant tumor is safe and feasible. The recovery by laparoscopy is faster than traditional methods. However, the oncological treatment outcomes need further investigation.