微创手术在妇科肿瘤学中的作用：对妇科肿瘤学会成员的最新调查
Role of Minimally Invasive Surgery in Gynecologic Oncology: An Updated Survey of Members of the Society of Gynecologic Oncology.
作者信息
Conrad Lesley B, Ramirez Pedro T, Burke William, Naumann R Wendel, Ring Kari L, Munsell Mark F, Frumovitz Michael
机构信息
*Department of Gynecologic Oncology, The University of Texas Southwestern Medical Center, Dallas, TX; †Department of Gynecologic Oncology and Reproductive Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX; ‡Department of Obstetrics and Gynecology, Columbia University College of Physicians and Surgeons, New York, NY; and §Department of Gynecologic Oncology, Levine Cancer Institute, Charlotte, NC; ∥Department of Biostatistics, The University of Texas MD Anderson Cancer Center, Houston, TX.
出版信息
Int J Gynecol Cancer. 2015 Jul;25(6):1121-7. doi: 10.1097/IGC.0000000000000450.
OBJECTIVES
To evaluate the current patterns of use of minimally invasive surgical procedures, including traditional, robotic-assisted, and single-port laparoscopy, by Society of Gynecologic Oncology (SGO) members and to compare the results to those of our 2004 and 2007 surveys.
METHODS
The Society of Gynecologic Oncology members were surveyed through an online or mailed-paper survey. Data were analyzed and compared with results of our prior surveys.
RESULTS
Four hundred six (32%) of 1279 SGO members responded. Eighty-three percent of respondents (n = 337) performed traditional laparoscopic surgery (compared with 84% in 2004 and 91% in 2007). Ninety-seven percent of respondents performed robotic surgery (compared with 27% in 2007). When respondents were asked to indicate procedures that they performed with the robot but not with traditional laparoscopy, 75% indicated radical hysterectomy and pelvic lymphadenectomy for cervical cancer. Overall, 70% of respondents indicated that hysterectomy and staging for uterine cancer was the procedure they most commonly performed with a minimally invasive approach. Only 17% of respondents who performed minimally invasive surgery performed single-port laparoscopy, and only 5% of respondents indicated that single-port laparoscopy has an important or very important role in the field.
CONCLUSIONS
Since our prior surveys, we found a significant increase in the overall use and indications for robotic surgery. Radical hysterectomy or trachelectomy and pelvic lymphadenectomy for cervical cancer and total hysterectomy and staging for endometrial cancer were procedures found to be significantly more appropriate for the robotic platform in comparison to traditional laparoscopy. The indications for laparoscopy have expanded beyond endometrial cancer staging to include surgical management of early-stage cervical and ovarian cancers, but the use of single-port laparoscopy remains limited.
目的
评估妇科肿瘤学会（SGO）成员目前使用微创外科手术的模式，包括传统腹腔镜手术、机器人辅助腹腔镜手术和单孔腹腔镜手术，并将结果与我们2004年和2007年的调查结果进行比较。
方法
通过在线或纸质邮寄调查的方式对妇科肿瘤学会成员进行调查。对数据进行分析，并与我们之前的调查结果进行比较。
结果
1279名SGO成员中有406名（32%）回复。83%的受访者（n = 337）进行传统腹腔镜手术（2004年为84%，2007年为91%）。97%的受访者进行机器人手术（2007年为27%）。当受访者被要求指出他们使用机器人进行但不使用传统腹腔镜进行的手术时，75%的人指出是宫颈癌根治性子宫切除术和盆腔淋巴结清扫术。总体而言，70%的受访者表示子宫癌的子宫切除术和分期是他们最常采用微创方法进行的手术。进行微创手术的受访者中只有17%进行单孔腹腔镜手术，只有5%的受访者表示单孔腹腔镜手术在该领域具有重要或非常重要的作用。
结论
自我们之前的调查以来，我们发现机器人手术的总体使用和适应证有显著增加。与传统腹腔镜手术相比，宫颈癌根治性子宫切除术或宫颈切除术及盆腔淋巴结清扫术以及子宫内膜癌全子宫切除术和分期手术被发现明显更适合机器人平台。腹腔镜手术的适应证已从子宫内膜癌分期扩展到包括早期宫颈癌和卵巢癌的手术治疗，但单孔腹腔镜手术的使用仍然有限。
Zotero 插件