Bajaj P K, Barnes M N, Robertson M W, Shah P, Austin J M, Partridge E E, Austin J M
Department of Obstetrics and Gynecology, University of Alabama at Birmingham and Southern Gynecologic Oncology, 35233-7333, USA.
South Med J. 1999 Dec;92(12):1174-7. doi: 10.1097/00007611-199912000-00008.
Because of inaccuracies in clinical staging, endometrial adenocarcinoma is now a surgically staged disease. This study was done to determine the safety and efficacy of a laparoscopically assisted approach in the treatment and staging of this disease.
Using a retrospective chart review, we identified demographic characteristics, mean blood loss, operative findings, and complications of patients who had laparoscopically assisted staging and treatment for endometrial carcinoma from 1992 to 1997.
Of 34 patients, 28 had laparoscopic surgical staging that included pelvic and para-aortic lymph node assessment, peritoneal washings, bilateral salpingo-oophorectomy, and total vaginal hysterectomy; 23 patients (82%) had stage I disease, 2 (7%) had stage II disease, and 3(11%) had stage III disease. Complications included herniation through a 5 mm port site, necessitating small bowel resection, and a fatal myocardial infarction 10 days postoperatively.
Laparoscopic staging and treatment of endometrial carcinoma is appropriate in a select group of patients.
由于临床分期不准确，子宫内膜腺癌目前是一种需手术分期的疾病。本研究旨在确定腹腔镜辅助方法在该疾病治疗和分期中的安全性和有效性。
通过回顾性病历审查，我们确定了1992年至1997年间接受腹腔镜辅助分期和治疗子宫内膜癌患者的人口统计学特征、平均失血量、手术发现和并发症。
34例患者中，28例行腹腔镜手术分期，包括盆腔和腹主动脉旁淋巴结评估、腹腔冲洗、双侧输卵管卵巢切除术和全阴道子宫切除术；23例（82%）为I期疾病，2例（7%）为II期疾病，3例（11%）为III期疾病。并发症包括通过5mm切口部位的疝，需行小肠切除术，以及术后10天发生致命性心肌梗死。
腹腔镜分期和治疗子宫内膜癌适用于特定的一组患者。
