[1]李光仪　 王刚　 陈露诗.腹腔镜与剖腹手术治疗早期子宫颈癌37例临床分析[J].中国微创外科杂志,2003,03(4):315-316.
　Li Guangyi,Wang Gang,Chen Lushi..A comparision study between laparoscopic and open operation for the treatment of early-stage cervix cancer :Clinical analysis of 37 cases[J].Chinese Journal of Minimally Invasive Surgery,2003,03(4):315-316.
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腹腔镜与剖腹手术治疗早期子宫颈癌37例临床分析()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
03
期数:
2003年4期
页码:
315-316
栏目:
出版日期:
2003-04-30

文章信息/Info

Title:
A comparision study between laparoscopic and open operation for the treatment of early-stage cervix cancer :Clinical analysis of 37 cases
作者:
李光仪　 王刚　 陈露诗
佛山市第一人民医院妇产科,佛山,528000
Author(s):
Li Guangyi; Wang Gang; Chen Lushi.
Department of Obstetrics and Gynecology,The First People’s Hospital ofFuoshan,Fuoshan 528000,China
关键词:
子宫颈癌;  腹腔镜手术;  剖腹手术
Keywords:
Cervix cancer; 　Laparoscopic operation; 　Open operation
分类号:
R737.33
文献标志码:
A
摘要:
目的探讨腹腔镜手术治疗早期子宫颈癌的价值. 方法对18例临床Ⅰb～Ⅱa期宫颈癌施行腹腔镜下广泛全子宫切除和盆腔淋巴结清扫术(腹腔镜组),其中Ⅰb期17例,Ⅱa1例.同期19例早期子宫颈癌行开腹广泛全子宫切除和盆腔淋巴结清扫术(剖腹组),比较两种术式的手术时间、术中出血量、术后恢复情况及手术并发症等. 结果腹腔镜组平均手术时间(272.8min±80.3min)与开腹组(226.5min±66.8min)无明显统计学差异(t=1.921,P=0.063).腹腔镜组平均切除淋巴结15.6±5.1个,开腹组16
Abstract:
Objective　To explore the value of laparoscopic operations for early-stage cervix cancer.　Methods　Eighteen patients withⅠb~Ⅱaastage cervix cancer underwent extensive total uterectomy combined with pelvic lymphadenectomy under laparoscope (17Ⅰb cases, 1Ⅱacase). Concurrently, another 19 patients with the same diagnosis and approximately the same clinical features as the abovemen- tioned 18 cases, as the control group, were treated by open extensive total uterectomy combined with pelvic lymphadenectomy. The operation time, intraoperative blood loss, postoperative recovery and complications of two groupswere compared.　Results　No statistically significant differences were found onmean operation time between the laparoscopy group (272·8 min±80·3min) and open group (226·5 min±66·8min) (t=1·921,P=0·063). The number of removed lymph nodes was 15·6±5·1 in laparoscopy group and 16·8±5·7 in open group, without statistically significant differences (t=0·674,P=0·505). The recoverytime of intestine functions in laparoscopy group (34·2 hours) was ob- viously shorter than that of open group (60·7 hours) (P<0·01). There were no serious complications found in two groups. The occurrence rate of other complications had no statistically significant differences between the laparoscopy group (33·3%; 6/18) and open group (31·6%; 6/19) (P=0·812).　Conclusions　Both laparoscopic and open operations are proper alternatives of radical excision for cervix cancer. The laparoscopic operation, however, has the advantages of minimal invasion and rapid recovery.

参考文献/References:

［1］李光仪, 陈蔚瑜, 黄浩. 腹腔镜手术治疗子宫恶性肿瘤23例分析. 实用妇产科杂志,2001,17(2): 96-97.
［2］胡立, 翁铭庆,译. 妇科手术图解. 广州: 广东科技出版社,1996. 404-410.
［3］Querleu D,Leblanc E,Castelain B.Laparoscopic pelvic lymphadenectomy in the staging of early carcinoma of the vervix.Am J Obstet Gynecol,1991,164:579-581.
［4］Spirtos NM,Eisenkop SM,Schlaerth JB,et al.Laparoscopic radical hysterectomy (type Ⅲ) with aortic and pelvic lymphadenectomy in patients with stage I cervical cancer:surgical morbidity and intermediate follow up.Am J Obstet Gynecol,2002,187:340-348.

更新日期/Last Update: 2014-07-02