腹腔镜下广泛子宫切除及盆腔淋巴结清除术14例分析

Laparoscopic radical hysterectomy and pelvic lymphadenectomy: analysis of 14 cases

目的总结分析子宫早期恶性肿瘤的腹腔镜手术疗效,确定腹腔镜手术在妇科肿瘤治疗中的应用价值。方法回顾性分析10例子宫颈癌、4例子宫内膜癌患者经腹腔镜行广泛性全子宫切除及盆腔淋巴结清除术的的临床资料,并与国内外同类手术及开腹手术比较。结果平均手术时间302 min,平均术中出血量760 ml,术后平均排气时间30 h,平均切除淋巴结的个数22个。结论腹腔镜下广泛性全子宫切除及盆腔淋巴结清除术可达到开腹手术同样的彻底性,对早期子宫恶性肿瘤的治疗是切实可行的。

Objective To evaluate the feasibility and safety of surgical removal of the tumors through laparoscopy in patients with early-stage uterine cancer. Methods A retrospective analysis of the clinical data of 10 cervical cancer and 4 endometrial cancer cases, in which laparoscopic radical hysterectomy and pelvic lymphadenectomy were performed following the same surgical procedures as in laparotomy. Results The mean operating time was 302 min, and mean estimated blood loss was 760 ml, with the mean postoperative gastrointestinal recovery time of 30 h and average number of removed lymph nodes of 22. Conclusion Laparoscopic surgery has equivalent curative effect to laparotomy, and laparoscopic radical hysterectomy and pelvic lymphadenectomy in the patients with early-stage uterine cancer is both feasible and efficient.