摘要
目的：评价腹腔镜下广泛子宫切除加盆腔淋巴结清扫术治疗子宫颈癌和子宫内膜癌的实用价值，总结其优点及手术注意事项。方法：对12例子宫内膜癌、18例子宫颈癌施行腹腔镜下广泛子宫切除加盆腔淋巴结清扫术。结果：除1例中转开腹外，其余患者均在腹腔镜下完成手术，切除淋巴结19．5个（13～24个）。术中重要脏器损伤2例，发生率为6．67％。术后并发症发生率13．33％。子宫内膜癌术后复发率8．33％。子宫颈癌术后复发率5．56％。结论：腹腔镜下广泛子宫切除加盆腔淋巴结清扫术具有创伤小、术野清晰、并发症少、术后康复快等优点，并具有开腹手术的效果。
Objective ：To evaluate the value of extensive hysterectomy and pelvic lymphadenectomy under laparoscope in treating the carcinoma of cervix uteri and endometrium. Methods： 12 cases of carcinoma of cervix uteri and 18 cases of carcinoma of endometrium received the extensive hysterectomy and pelvic lymphadenectomy under laparoscope. Results： 1 case was converted to laparotomy,the otheres were finished under laparoscope. 2 cases had injury of important viscera,the incidence rate was 6.67%. The incidence of complication, was 13.33 %. The recurrence incidence of carcinoma of endometrium was 8.33 %. The incidence of recurrence of carci- noma of cervix uteri was 5.56%. Conclnsions ：The extensive hysterectomy and pelvic lymphadenectomy under laparoscope has merits of minorinvasion, clear visual field,low incidence of post operative complications and quick recovery.
出处
《腹腔镜外科杂志》
2006年第1期10-11,共2页
Journal of Laparoscopic Surgery
