Chi Dennis S, Abu-Rustum Nadeem R, Sonoda Yukio, Ivy Joseph, Rhee Eunice, Moore Kathleen, Levine Douglas A, Barakat Richard R
Gynecology Service, Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York, NY 10021, USA.
Am J Obstet Gynecol. 2005 May;192(5):1614-9. doi: 10.1016/j.ajog.2004.11.018.
To compare the safety and efficacy of laparoscopic staging of ovarian or fallopian tube cancers to staging via laparotomy for epithelial ovarian carcinoma.
We performed a case-control study of all patients with apparent stage I adnexal cancers who had laparoscopic staging from October 2000 to March 2003. The control group consisted of all patients with apparent stage I epithelial ovarian carcinoma who had staging via laparotomy during the same time period.
Staging was laparoscopic in 20 patients and via laparotomy in 30. There were no differences in mean age and body mass index. There were also no differences in omental specimen size and number of lymph nodes removed. Estimated blood loss and hospital stay were lower for laparoscopy, but operating time was longer. There were no conversions to laparotomy or complications in the laparoscopic group, compared with 3 minor complications in the laparotomy group.
In this preliminary analysis, it appears that patients with apparent stage I ovarian or fallopian tube cancer can safely and adequately undergo laparoscopic surgical staging.
比较腹腔镜对卵巢癌或输卵管癌进行分期与剖腹手术对上皮性卵巢癌进行分期的安全性和有效性。
我们对2000年10月至2003年3月期间所有接受腹腔镜分期的I期附件癌患者进行了病例对照研究。对照组由同期接受剖腹手术分期的所有I期上皮性卵巢癌患者组成。
20例患者接受了腹腔镜分期，30例接受了剖腹手术分期。平均年龄和体重指数无差异。大网膜标本大小和切除的淋巴结数量也无差异。腹腔镜手术的估计失血量和住院时间较短，但手术时间较长。腹腔镜组无中转剖腹手术或并发症，而剖腹手术组有3例轻微并发症。
在这项初步分析中，似乎I期卵巢或输卵管癌患者可以安全、充分地接受腹腔镜手术分期。
