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[腹腔镜子宫切除术在子宫内膜癌治疗中的应用]

[Laparoscopic hysterectomy in the management of endometrial cancer].

作者信息

Seracchioli R, Fabbri E, Guerrini M, Mignemi G, Venturoli S

机构信息

Unità di Fisiopatologia della Riproduzione, Centro di Endoscopia Pelvica e Chirurgia Mini-invasiva, Ospedale S. Orsola-Malpighi, Università degli Studi di Bologna, Bologna, Italia.

出版信息

Minerva Ginecol. 2006 Oct;58(5):361-70.

Abstract

Endometrial carcinoma is the most commonly reported gynaecologic malignancy in industrialized countries. Traditionally the surgical treatment of endometrial cancer is total abdominal hysterectomy, bilateral salpingo-oophorectomy, and peritoneal washing cytology. Alternative surgical procedures have been proposed compared to abdominal hysterectomy: increased number of issues about laparoscopy shows the common trend to use this technique. Literature largely described advantages of the laparoscopic procedure compared to abdominal and vaginal surgery. Long-term follow-up series are not available; further investigation into survival and recurrence rates is indicated.

摘要

子宫内膜癌是工业化国家中报告最多的妇科恶性肿瘤。传统上,子宫内膜癌的手术治疗是全腹子宫切除术、双侧输卵管卵巢切除术和腹膜冲洗细胞学检查。与腹式子宫切除术相比,已提出了替代手术方法:关于腹腔镜检查的问题增多表明了使用该技术的普遍趋势。与腹部和阴道手术相比,文献中大量描述了腹腔镜手术的优势。目前尚无长期随访系列;需要对生存率和复发率进行进一步研究。

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