腹腔镜手术和传统开腹手术治疗早期子宫内膜癌的临床疗效比较

doi:10.3969/j.issn.1671-7171.2018.01.014

Abstract
Figure/Table
References
Related Citation (15)

Download: PDF (0 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract 【Objective】To clinically compare of laparoscopic surgery and traditional trans-ventral surgery in the treatment of early endometrial cancer.【Methods】A total of 96 patients with endometrial cancer undergoing hysterectomy in our hospital from April 2014 to April 2016 were selected and divided into two groups randomly: the traditional trans-ventral group and the laparoscopic group, with 48 cases in each group. All study subjects were given general anesthesia and routine sterilization. The patients of the traditional trans-ventral group received traditional trans-ventral operation, while the patients of laparoscopic group received laparoscopic surgery . The operation duration, total operative bleeding volume, postoperative exhaustion time, length of hospital stay, complication and recurrence rate after surgery of the two groups were compared and analyzed.【Results】The operation duration of laparoscopic group was (80.67±12.11)min, while that of the traditional transventral operation was (119.69±18.64)min. The total loss of blood during operation in the laparoscopic group was less than that of traditional trans-ventral group. Both the postoperative exhaustion time and length of hospital stay of the laparoscopic group were much shorter than those of the traditional trans-ventral group; the difference was statistically significant (P<0.05).The incidence of intraoperative complications (bladder injury, bowel injury, etc.) in the laparoscopic group was 2.0% (1/48), which was significantly lower than that in the traditional trans-ventral surgery group (16.7%, 8/48). Postoperative complications (venous thrombosis, ureteral fistula, incision infection, distant metastasis, etc.) and recurrence rate of the two groups showed no significant difference (P>0.05).【Conclusion】In the treatment of early endometrial cancer, laparoscopic surgery is superior to the traditional trans-ventral surgery in operation duration, total operative bleeding volume, and intraoperative complication rate. .The complication after operation and recurrence rate of two operation methods are essentially the same..

Key words： Endometrial Neoplasms/SU Laparoscopy Treatment Outcome Recurrence

Received: 28 August 2017

PACS:

R737.33

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	ZHAO Jiao
	WANG Xiao-bin

Cite this article:

ZHAO Jiao,WANG Xiao-bin. Clinical Comparison of Laparoscopic and Traditional Trans-ventral Operation in the Treatment of Early Endometrial Cancer[J]. JOURNAL OF CLINICAL RESEARCH, 2018, 35(1): 46-48.

URL:

http://www.jcr.net.cn/EN/10.3969/j.issn.1671-7171.2018.01.014 OR http://www.jcr.net.cn/EN/Y2018/V35/I1/46

[1] 王迪,马彩玲,叶远征.腹腔镜与开腹手术比较治疗子宫内膜癌疗效与安全性的Meta分析[J].中国循证医学杂志,2013,13(5):596-604.
[2] 黄佳明,王伟,梁炎春,等.腹腔镜手术与开腹手术治疗早期子宫内膜癌对比研究[J].中国实用妇科与产科杂志,2015,31(11):1016-1020.
[3] 周丽.腹腔镜手术与传统手术治疗早期老年子宫内膜癌的临床对比研究[J].中国高等医学教育,2014,12(71):129-143.
[4] 沈萍,黄梅.腹腔镜手术与开腹手术治疗Ⅰ期子宫内膜癌的近期及远期临床疗效观察[J].河北医学,2015,21(09):1423-1426.
[5] 赵成志,王光伟,杨清.腹腔镜手术与开腹手术治疗Ⅰ期子宫内膜癌的临床分析[J].中国妇产科临床杂志,2014,15(03):223-226.
[6] Fagotti A,Boruta DN ,Scambia G,et al.First 100 early endometrial cancer cases treated with laparoendoscopic single-site surgery: a multicentric retrospective study[J].Am J Obstet Gynecol,2012,206(4):351-353.
[7] Zhang H,Cui J,Jia L,et al.Comparison of laparoscopy and laparotomy for endometrial cancer[J].Int J Gynaecol Obstet,2012,116(3):185-191.
[8] 刘群,苏文辉,张琼珍.经阴道彩色多普勒超声联合血清HE4检测对子宫内膜癌的诊断价值[J].医学临床研究,2017,34(9):1720-1723.
[9] 李春梅,代淑兰.腹腔镜辅助阴式手术对早期老年子宫内膜癌患者术后血清IGF-1、CA125水平及生存质量的影响[J].医学临床研究,2017,34(8):1504-1507.
[10] Ghezzi F ,Uccella S ,Cromi A ,et al.Lymphoceles ,lymphorrhea ,and lymphedema after laparoscopic and open endometrial cancer staging[J].Ann Surg Oncol,2012,19(1):259-267.
[11] Zullo F ,Falbo A ,Palomba S .Safety of laparoscopy vs laparotomy in the surgical staging of endometrial cancer : a systematic review and metaanalysis of randomized controlled trials[J].Am J Obstet Gynecol,2012,207(2):94-100.
[12] 胡婷,王宇翮,任彦洁,等.腹腔镜与开腹手术治疗早期子宫内膜癌的临床对比分析[J].实用医学临床杂志,2014,11(3):80-82.
[13] Wright JD ,Neugut AI ,Wilde ET ,et al.Use and benefits of laparoscopic hysterectomy for stage I endometrial cancer among medicare beneficiaries[J].Oncol Pract,2012,8(5):89-99.
[14] Leslie KK ,Thiel KW ,Goodheart MJ ,et al.Endometrial cancer [J].Obstet Gynecol Clin North Am,2012,39(2):255-268.
[15] 杨红波,张黎,郑艳莉.开腹式宇腹腔镜下子宫切除术对子宫内膜癌患者排尿及性功能的影响[J].中国性科学,2014,23(4):16-18.