全腹腔镜子宫切除术作为病态肥胖女性子宫内膜癌的主要手术治疗方法。
Total laparoscopic hysterectomy as a primary surgical treatment for endometrial cancer in morbidly obese women.
作者信息
Yu C K H, Cutner A, Mould T, Olaitan A
机构信息
Elizabeth Garrett Anderson and Obstetric Hospital, University College London Hospitals NHS Trust, UK.
出版信息
BJOG. 2005 Jan;112(1):115-7. doi: 10.1111/j.1471-0528.2004.00335.x.
To evaluate the feasibility of total laparoscopic hysterectomy as the primary treatment for endometrial cancer in morbidly obese women, an audit was carried out during an 18-month period in a tertiary referral centre for gynaecological oncology. Four women who had laparoscopic surgery were compared with a similar cohort who had open surgery. The mean operating time was equivalent, without evidence of excess morbidity with the laparoscopic approach. However, inpatient stay was longer with open versus laparoscopic surgery (11.5 vs 4 days). Laparoscopic surgery is safe to use in morbidly obese women with endometrial cancer.
为评估全腹腔镜子宫切除术作为病态肥胖女性子宫内膜癌主要治疗方法的可行性，在一家妇科肿瘤三级转诊中心进行了为期18个月的审计。将4例接受腹腔镜手术的女性与一组接受开放手术的类似患者进行比较。平均手术时间相当，没有证据表明腹腔镜手术方法会增加发病率。然而，开放手术与腹腔镜手术相比住院时间更长（11.5天对4天）。腹腔镜手术用于患有子宫内膜癌的病态肥胖女性是安全的。
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