关于早期宫颈癌腹腔镜手术争议的几点意见

Comments on the debate about laparoscopic surgery for early-stage cervical cancer

近二十年以来,腹腔镜手术由于和开腹手术生存率相当且具备术后恢复快等优势,在早期宫颈癌治疗中的应用日益广泛。而最近的一项Ⅲ期随机对照临床研究发现,早期宫颈癌患者微创手术的复发和死亡风险均显著高于开腹手术,由此引发了国内外的广泛争议。在此,笔者剖析了这次争议的焦点,并提出关于该争议的几点意见和见解,供各位同道参考。

In the past two decades,laparoscopic surgery has been increasingly used in the treat­ment of early-stage cervical cancer because of equal survival and faster recovery compared to abdominal surgery.Recently,a phase III randomized controlled clinical trial revealed unexpected results that mini­mally invasive surgery was associated with significantly increased risks for tumor recurrence and death in patients with early-stage cervical cancer,causing a great debate worldwide.Herein,we highlighted the key points in the debate and tossed out several ideas on how to face and deal with the controversy.