摘要
目的探讨腹腔镜下腹主动脉旁淋巴结清扫治疗子宫内膜癌的可行性。方法 89例子宫内膜癌患者分为腹腔镜组50例和开腹组39例。比较2组围术期情况,术中、术后并发症及预后。结果 2组腹主动脉旁清扫淋巴结数无显著差异(P>0.05);腹腔镜组出血量显著少于开腹组(P<0.001);腹腔镜组术后病率8%,无切口裂开,开腹组术后病率25.6%,切口裂开4例,差异有统计学意义(P<0.05);腹腔镜组术后肛门排气时间、术后住院时间均显著短于开腹组(P<0.001);腹腔镜组清扫术时间显著长于开腹组(P<0.001)。结论腹腔镜腹主动脉旁淋巴结清扫治疗子宫内膜癌安全、可行,优于传统开腹手术。
Objective To investigate the feasibility of laparoscopic para-aortic lymph node dissection in treatment of patients with endometrial carcinoma. Methods A total of 89 patients with endometrial carcinoma were divided into laparoscopy group（ n = 50） and open surgery group（ n =39）. Perioperative conditions,intraoperative and postoperative complications as well as prognosis were compared between the two groups. Results There was no significant difference of number of dissected lymph nodes between two groups（ P 0. 05）. Amount of bleeding in the laparoscopy group was significantly less than that in the open surgery group（ P 0. 001）. Lower febrile morbidity rate of the laparoscopy group was 8%,which was significantly lower than 25. 6% of the open surgery group（ P 0.05）. There were 4 cases of wound disruption in the open surgery group,and that was not observed in the laparoscopy group（ P 0. 05）. Gastrointestinal recovery time and hospital stay of the laparoscopy group were significantly shorter than those of the open surgery group（ P 0. 001）,but the time of lymph node dissection was significantly longer than the open surgery group（ P 0. 001）. Conclusion Laparoscopic para-aortic lymph node dissection is safe and feasible for treatment of patients with endometrial carcinoma,and its efficacy is better than the conventional open surgery.
出处
《实用临床医药杂志》
CAS
2015年第5期64-66,70,共4页
Journal of Clinical Medicine in Practice
基金
江苏省卫生厅专项科研基金(YG201302)
关键词
腹腔镜
子宫内膜癌
腹主动脉旁淋巴结清扫
laparoscopy
endometrial carcinoma
para-aortic lymph node dissection
