韩国子宫内膜癌女性患者的腹腔镜辅助分期手术

Laparoscopic-assisted staging surgery for Korean women with endometrial cancer.

作者信息

Lee Jung Hun, Jung Un Suk, Kyung Min Sun, Choi Joong Sub

机构信息

Department of Obstetrics and Gynecology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.

出版信息

JSLS. 2008 Apr-Jun;12(2):150-5.

PMID:18435887

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3016180/

Abstract

BACKGROUND AND OBJECTIVE

In recent years, the incidence of endometrial cancer has gradually increased in Korea, and the use of laparoscopically assisted staging surgery (LASS) is increasing in this field. We conducted this study to evaluate the feasibility of LASS in Korean women with endometrial cancer.

METHODS

We conducted a retrospective review of 35 Korean women with endometrial cancer who were managed laparoscopically.

RESULTS

The median age and BMI were 57 years (range, 28 to 81) and 25.8 kg/m2 (range, 20.9 to 37.2), respectively. The median operating time, estimated blood loss, and length of hospital stay were, respectively, 150 minutes (range, 95 to 410), 250 mL (range, 50 to 1000), and 8 days (range, 3 to 20). No conversion to laparotomy was noted. The median number of harvested lymph nodes was 22 (range, 10 to 41) in pelvic lymph nodes and 7 (range, 2 to 21) in paraaortic lymph nodes. No vault recurrence or port-site metastasis was noted until the last follow-up.

CONCLUSIONS

LASS can be performed without additional morbidity and complications, and might be feasible in Korean women with endometrial cancer.

摘要

背景与目的

近年来，韩国子宫内膜癌的发病率逐渐上升，腹腔镜辅助分期手术（LASS）在该领域的应用也日益增多。我们开展这项研究以评估LASS在韩国子宫内膜癌女性患者中的可行性。

方法

我们对35例接受腹腔镜治疗的韩国子宫内膜癌女性患者进行了回顾性研究。

结果

患者的中位年龄和体重指数分别为57岁（范围28至81岁）和25.8kg/m²（范围20.9至37.2）。中位手术时间、估计失血量和住院时间分别为150分钟（范围95至410分钟）、250mL（范围50至1000mL）和8天（范围3至20天）。未发现转为开腹手术的情况。盆腔淋巴结清扫的中位数量为22个（范围10至41个），腹主动脉旁淋巴结清扫的中位数量为7个（范围2至21个）。直至最后一次随访，未发现阴道顶端复发或穿刺孔转移。