目的总结腹腔镜手术治疗早期子宫内膜癌的临床疗效。方法早期子宫内膜癌患者70例接受根治性全子宫切除,其中30例行腹腔镜下手术(A组),40例行开腹手术(B组)。回顾性分析两组患者手术相关资料。结果与B组相比,A组手术时间短[(140.2±14.8)min vs.(195.9±12.5)min](P<0.01)、术中出血少[(106.5±60.1)ml vs.(187.4±83.2)ml]、淋巴结清扫数目多[(18.9±4.8)枚vs.(15.4±6.3)枚]、术后肛门排气早、伤口感染率低、术后尿管、盆腔引流管拔除时间及住院时间短(P<0.05或P<0.01)。结论与开腹手术比较,腹腔镜手术治疗子宫内膜癌手术创伤小,术后恢复快,并发症少。 Objective To summarize the clinical efficacy of laparoscopic surgery for early endometrial cancer. Methods Seventy patients with early endometrial cancer underwent radical hysterectomy. Among them, 30 underwent laparoscopic surgery (group A) and 40 underwent laparotomy (group B). Retrospective analysis of two groups of patients with surgery-related information. Results Compared with group B, the operative time of group A was shorter (140.2 ± 14.8 min vs 195.9 ± 12.5 min) (P <0.01), and the number of intraoperative bleeding was less (106.5 ± 60.1) ml vs. (187.4 ± 83.2) ml], the number of lymph node dissection was much (18.9 ± 4.8) vs. (15.4 ± 6.3), the rate of postoperative anal exhaust was earlier, the rate of wound infection was lower, the postoperative catheter, pelvic drainage time and hospitalization The time was short (P <0.05 or P <0.01). Conclusion Compared with laparotomy, laparoscopic surgery for endometrial cancer surgery less trauma, postoperative recovery, fewer complications.