腹腔镜与开腹手术治疗子宫内膜癌效果比较

Surgical outcomes of laparoscopic surgery versus laparotomy for endometrial cancer

目的探讨腹腔镜辅助的子宫内膜癌手术与传统开腹手术临床效果的差异。方法回顾性研究2007年1月至2010年3月在上海交通大学附属第一人民医院妇科行子宫内膜癌腹腔镜手术的51例患者临床资料,选择同期同组医生施行的子宫内膜癌传统开腹手术69例作为对照组,比较两组临床效果。结果腹腔镜组与开腹组在手术时间、术中清扫淋巴结数目上差异无统计学意义。腹腔镜组术中失血少、术后发热率低、肠道恢复快、住院时间短,与开腹组差异有统计学意义(P<0.05)。开腹组切口裂开率高于腹腔镜组,而其他并发症组间差异无统计学意义。结论腹腔镜手术是治疗早期子宫内膜癌稳妥可行的选择。

Objective To compare outcomes between laparoscopie surgery and traditional laparotomy fnr the treatment of a clinical stage I endometrial cancer, Methods We retrospectively analyzed the medical records of 51 patients with endometrial cancer treated by laparoscopic surgery between January 2007 and January 2010, comparing data using the same surgeons＇traditional laparotomy cases during the same period. Results There were no significant differences between the laparoscopy and the laparotomy groups in operating time, pelvic lymph node count. However, the laparoscopy group showed lower blood loss, lower febrile morbidity, rapid post-operative rehabilitation of the digestion tract, and shorter postoperative hospital stay （ P 〈 0. 05 ）. The incidence of wound disruption was higher in laparotomy groups than in laparoseopy groups（P 〈 0. 05）, while there were no significant differences in other complications （P 〉 O. 05 ）. Conclusion Laparoscopy can be considered a good therapeutic option for endometrial cancer.