宫颈癌微创手术治疗现状与相关问题

Present Situation and Related Problems of Minimally Invasive Surgical Treatment of Cervical Cancer

随着科学技术的进步,腹腔镜及机器人辅助腹腔镜等微创手术已成为宫颈癌外科治疗首选方式。目前采用单孔或多孔腹腔镜及机器人辅助的腹腔镜技术可以完成宫颈癌外科治疗的主要手术操作,包括广泛子宫切除术、保留神经的广泛宫颈切除术、保留生育功能的广泛宫颈切除术和盆腔及腹主动脉旁淋巴结切除术,甚至广泛宫旁组织切除及盆腔廓清术。微创技术的优点包括扩大手术视野和可视化,减少出血量,减少并发症的发生率和术后止痛剂的用量,缩短住院时间和恢复时间等。宫颈癌微创手术治疗代表了未来肿瘤治疗的方向,需要通过多中心大样本随机临床研究,获得一类证据,为宫颈癌患者提供最有效和最先进的外科治疗手段。

With the advancement of science and technology, laparoscopic and robot-assisted laparoscopic and other minimally invasive surgery has become the preferred method of surgical treatment of cervical cancer. At present, surgical treatments of cervical cancer include radical hysterectomy, nerve-sparing radical hysterectomy, radical trachelectomy, and pelvic and para-aortic lymphadenectomy, even para-uterine tissue and pelvic organ excision performed with single port or multi port laparoscopic and robot-assisted laparoscopic surgery. Its advantages include the expansion of the surgical field and visualization, to reduce the amount of bleeding and operative complication, reduce the need for analgesics, shorter hospital stay, faster recovery and so on. Minimally invasive surgical treatment of cervical cancer represents the future direction of cancer treatment, randomized multi-center clinical studies through a large sample, obtained category one of evidence to provide the most effective and advanced surgical treatment for cervical cancer patients.