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目的:探讨腹腔镜手术在早期卵巢恶性肿瘤治疗中的应用。方法:2005年10月-2007年6月对哈尔滨医科大学附属肿瘤医院妇科曾行腹腔镜探查并经腹腔镜下活检病理确诊后于腹腔镜下行子宫及双附件切除术、淋巴结切除术同时于左上腹小切口行阑尾及大网膜切除术共同完成卵巢癌分期手术的25例Ⅰ期上皮性卵巢癌及交界性卵巢瘤患者的临床资料进行回顾性分析。结果:25例Ⅰ期的上皮性卵巢癌及交界性卵巢瘤患者手术效果满意,盆腔置入化疗药,患者术后随访平均1年,均无复发,未发现trocar部位肿瘤细胞种植生长。结论:腹腔镜技术对较早期卵巢癌诊断、分期手术可行安全。
Objective: To investigate the application of laparoscopic surgery in the treatment of early ovarian cancer. Methods: From October 2005 to June 2007, gynecology of Affiliated Tumor Hospital of Harbin Medical University had laparoscopic exploration and confirmed by laparoscopic biopsy. Laparoscopic hysterectomy and double-attachment resection were performed. Lymphadenectomy was performed in the upper left The clinical data of 25 patients with stage Ⅰ epithelial ovarian cancer and borderline ovarian cancer who underwent appendectomy and omentum resection combined with ovarian cancer staging were retrospectively analyzed. Results: Twenty-five patients with stage Ⅰ epithelial ovarian cancer and borderline ovarian cancer were satisfied with the operation effect. The patients were treated with chemotherapy drugs. The patients were followed up for an average of 1 year after operation. No recurrence was found and the growth of tumor cells in the trocar site was not found. Conclusion: Laparoscopic surgery is more safe and effective for the diagnosis and staging of early ovarian cancer.