摘要
目的:探讨腹腔镜手术治疗早期子宫内膜癌的可行性及临床效果。方法:回顾分析2008年1月至2010年12月为8例早期子宫内膜癌患者行腹腔镜手术的临床资料,并与同期随机抽取的8例开腹手术进行对比分析。结果:腹腔镜组与经腹组平均手术时间分别为(175.21±12.75)min、(221.32±23.53)min(t=4.87,P<0.01),平均出血量分别为(316.57±28.52)ml、(430.83±35.13)ml(t=7.16,P<0.01),术后肛门排气时间为(35.56±7.17)h、(52.45±5.32)h(t=5.34,P<0.01),住院时间分别为(5.7±2.3)d、(9.1±1.5)d(t=3.51,P<0.01)。两组平均切除淋巴结(18.2±2.5)枚与(17.7±3.1)枚(t=0.37,P>0.05),术后3天平均体温分别为(37.3±0.2)℃与(37.2±0.3)℃(t=0.82,P>0.05);腹腔镜组1例于术后4个月复发。结论:在严格掌握手术指征的前提下,腹腔镜手术治疗早期子宫内膜癌是可行的,腹腔镜手术具有患者创伤小、术后康复快等明显优势,远期疗效尚待进一步观察。
Objective:To evaluate the feasibility and the clinical outcome of laparoscopic surgical treatment of early-stage endometrial cancer.Methods:The clinical data of 8 patients with early stage endometrial cancer treated by laparoscopy from Jan.2008 to Dec.2010 were retrospectively analyzed.They were compared with 8 patients who received laparotomy during the same time.Results:For laparoscopic group and open group,the mean operating time was(175.21±12.75) min vs(221.32±23.53) min(t=4.87,P0.01),the mean blood loss during the operation was(316.57±28.52) ml vs(430.83±35.13) ml(t=7.16,P0.01),the intestinal recovery time was(35.56±7.17) h vs(52.45±5.32) h(t=5.34,P0.01),postoperative hospital stay was(5.7±2.3) d vs(9.1±1.5) d(t=3.51,P0.01).No statistical difference was found in the number of lymph nodes resected [(18.2±2.5) vs(17.7±3.1),(t=0.37,P0.05)] and the average of postoperative body temperature for three days [(37.3±0.2) ℃ vs(37.2±0.3) ℃,(t=0.82,P0.05)] between the two groups.Recurrence was found in 1 patient 4 months later in laparoscopic group.Conclusions:On the premise of strictly controlled indication,laparoscopic surgery is feasible for treatment of early-stage endometrial cancer due to its advantages such as less damage and faster recovery,however,the long-term prognosis still needs further studies.
出处
《腹腔镜外科杂志》
2011年第7期544-547,共4页
Journal of Laparoscopic Surgery