日本妇瘤学界对子宫颈癌腹腔镜手术的态度

Laparoscopic radical hysterectomy in Japan:perspectives from the Japan Gynecologic Oncology Group

自子宫颈癌腹腔镜手术研究(laparoscopic approach to cervical cancer,LACC)研究结果发布以来,子宫颈癌腹腔镜手术的疗效出现了巨大争议。文章将从子宫颈癌腹腔镜手术在日本的发展历史,目前子宫颈癌腹腔镜广泛性全子宫切除术(LRH)在日本的应用情况,以及未来的发展三方面作介绍。建议严格把握子宫颈癌腹腔镜手术的适应证,并在手术时谨慎对待阴道切开的方式。

Since the publication of Laparoscopic Approach to Cervical Cancer(LACC)trial,a huge controversy regarding laparoscopic radical hysterectomy(LRH)for cervical cancer has been raised.This article will introduce the history of LRH in Japan,current status of LRH and prospects.We suggest a strict indication and care should be taken during the colpotomy when applying LRH to treat cervical cancer.