Fram Kamil M, Sumrein Issa M
Department of Obstetrics and Gynecology, Jordan University Hospital, Amman, Jordan.
Saudi Med J. 2013 Jan;34(1):11-8.
Up until 20 years ago, laparotomy was the single method of surgical treatment for endometrial cancer. Wider acceptance for the laparoscopic approach has been gained by gynecologic surgeons as an alternative surgical method. Clinical application of laparoscopic surgery has grown rapidly, yet it remains to be proven if this technique has brought great benefits. The location of minimal-access surgery in gynecologic oncology has proven effective particularly with the growth of exchanged experience among surgeons. As operative laparoscopy in gynecologic oncology remains novel, the potentiality of the procedure is underscored. In this review, we survey the literature on this technique and critically evaluate the indications, limitations, as well as the benefits and risks of this approach to hysterectomy. Due regard should be given certain patients with indications for an abdominal hysterectomy to the benefits that laparoscopic hysterectomy may offer.
直到20年前，剖腹手术还是子宫内膜癌唯一的外科治疗方法。作为一种替代手术方法，腹腔镜手术已被妇科外科医生更广泛地接受。腹腔镜手术的临床应用发展迅速，但这项技术是否带来了巨大益处仍有待证实。随着外科医生之间交流经验的增加，微创外科手术在妇科肿瘤学中的地位已被证明是有效的。由于妇科肿瘤学中的手术腹腔镜检查仍然是新事物，该手术的潜力得到了强调。在这篇综述中，我们查阅了关于这项技术的文献，并严格评估了该子宫切除术方法的适应症、局限性以及益处和风险。对于某些有腹部子宫切除术适应症的患者，应充分考虑腹腔镜子宫切除术可能带来的益处。
