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目的探讨早期宫颈癌腹腔镜手术治疗的可行性及安全性。方法回顾性分析腹腔镜手术38例和开腹手术42例治疗的临床Ⅰa～Ⅱa期宫颈癌患者资料,比较其手术时间、术中出血量、淋巴结清除数目、术后恢复情况、并发症、住院时间等。结果两组手术均获成功,术中无邻近脏器损伤发生,切除的淋巴结数均无显著性差异(P>0.05)。腹腔镜组手术时间、术中出血量、应用抗生素时间、肛门排气时间、术后住院时间明显少于剖腹手术组(P<0.01)。结论腹腔镜下广泛全子宫切除和淋巴结清扫治疗早期宫颈癌是安全、有效的方法,具有创伤小,术后恢复快的优点。
Objective To investigate the feasibility and safety of early cervical cancer laparoscopic surgery. Methods The clinical data of 38 patients with laparoscopic surgery and 42 patients with open cervical cancer undergoing laparoscopic surgery were retrospectively analyzed. The operative time, intraoperative blood loss, lymph node clearance, postoperative recovery, complications, hospitalization Time and so on. Results The operation of both groups was successful. There was no adjacent organ injury in operation and the number of resected lymph nodes had no significant difference (P> 0.05). Laparoscopic operation time, intraoperative blood loss, application of antibiotics, anal exhaust time, postoperative hospital stay was significantly less than the laparotomy group (P <0.01). Conclusions Laparoscopic radical hysterectomy and lymph node dissection in the treatment of early stage cervical cancer are safe and effective methods, which have the advantages of small trauma and rapid postoperative recovery.