Cakmak Yusuf, Comert Duygu Kavak, Sozen Isik, Oge Tufan
Department of Gynecologic Oncology, Eskisehir Osmangazi University School of Medicine, Eskisehir, Turkey.
J Oncol. 2020 Apr 30;2020:2157520. doi: 10.1155/2020/2157520. eCollection 2020.
After minimally invasive surgery gained popularity in gynecology, laparoscopic operations became widespread among oncologic operations. However, more studies evaluating experiences of oncologic surgeons during the learning period of laparoscopy are needed. To compare the surgical outcomes and perioperative complications of laparoscopic surgery and laparotomy in the treatment of early-stage endometrioid endometrial cancer patients, we retrospectively investigated patients who underwent surgery due to endometrial cancer at our institution between 2014 and 2018. Early-stage (stage I) endometrioid endometrial cancer patients were included in the study. Operative times, length of hospital stay, extracted pelvic lymph nodes, perioperative complications, and blood loss were compared. A total of 128 patients were treated for stage I endometrial cancer during the study period. Sixty-two patients (48.4%) underwent laparoscopic surgery, and 66 (51.6%) patients underwent laparotomy. Median operation time and pelvic lymph node count in the laparotomy and laparoscopy groups did not demonstrate statistically significant differences. However, the length of hospital stay, estimated blood loss, and perioperative complication rate were lower in the laparoscopic surgery group. Laparoscopic surgery in early-stage endometrial cancer may be performed with less blood loss, shorter duration of hospital stays, and similar lymph node counts compared to laparotomic surgery.
在微创手术在妇科领域普及之后，腹腔镜手术在肿瘤手术中也广泛开展。然而，还需要更多研究来评估肿瘤外科医生在腹腔镜手术学习阶段的经验。为比较腹腔镜手术和开腹手术治疗早期子宫内膜样子宫内膜癌患者的手术效果及围手术期并发症，我们回顾性调查了2014年至2018年期间在我院因子宫内膜癌接受手术的患者。研究纳入早期（I期）子宫内膜样子宫内膜癌患者。比较了手术时间、住院时间、盆腔淋巴结提取数量、围手术期并发症及失血量。研究期间共有128例I期子宫内膜癌患者接受治疗。62例患者（48.4%）接受了腹腔镜手术，66例患者（51.6%）接受了开腹手术。开腹手术组和腹腔镜手术组之间的中位手术时间和盆腔淋巴结数量没有统计学上的显著差异。然而，腹腔镜手术组的住院时间、估计失血量和围手术期并发症发生率较低。与开腹手术相比，早期子宫内膜癌的腹腔镜手术可能失血量更少、住院时间更短且淋巴结数量相近。
