腹腔镜手术治疗子宫内膜癌17例报告

The treatment for endometrial adenocarcinoma with laparoscopic operation- A report of 17 cases

目的 探讨腹腔镜手术治疗早期子宫内膜癌的手术模式和可行性。方法 参照开腹式手术的手术指征和基本程序，对１７例子宫内膜癌的者施行腹腔镜下广泛全子宫切除加双附件切除术，其中２例加行盆腔淋巴结清扫术。结果 腹腔镜下广泛全子宫切除加双侧附件切除１５例，平均手术时间为２２２ｍｉｎ，术中平均出血量为３０６ｍｌ；广泛全子宫切除加双侧附件切除加盆腔淋巴结清扫２例，手术时间分别为２７４ｍｉｎ和２５６ｍｉｎ，术中出血量分别为２５０ｍｌ和４２０ｍｌ。１４例（７３．６％）患者术后第３～５天基本恢复日常活动能力。结论 腹腔镜手术治疗早期子宫内膜癌安全、可行，并具有创伤小，恢复快等优点，值得进一步研究。

Objective To evaluate the surgical model and the possibility of the lparoscopic operation as a treatment for endometrial carcinoma at the early stage. Methods Radical hysterectomy and bilateral adnexectomy were performed in 17 cases of endometrial carcinoma, two of which underwent addtional lymphadenectomy. The oper- ation time, volume of bleeding and and the complications were observed. Results The mean time of operation in 15 cases of laparoscopic radical hysterectomy and bilateral adnexectomy was 222 min, and the average volume of bleeding duing operation was 306ml; The operation time of the 2 cases undergone additional lymphanectomy was 274min and 256min respectively, with a intraoperative bleeding of 250ml and 420ml respectively. No serious compli- cations occured and all the cases recovered very well. Conclusions It is feasible to perform laparoscopic operations on early stage endometrial carcinoma.