Department of Gynecology, The 92276Obstetrics and Gynecology Hospital of Fudan University, Shanghai, China.
J Int Med Res. 2021 Feb;49(2):300060521992247. doi: 10.1177/0300060521992247.
To compare the characteristics, surgical complications, and overall survival between patients undergoing laparoscopy versus laparotomy for treatment of early-stage cervical stump carcinoma.
Patients with International Federation of Gynecology and Obstetrics (FIGO, 2009) stage IA2 to IIA2 cervical stump carcinoma who underwent laparoscopy or laparotomy in the Obstetrics and Gynecology Hospital of Fudan University from January 2000 to June 2018 were retrospectively reviewed. All patients' clinical characteristics, pathological features, complications, and follow-up data were retrieved.
Seventy-two patients were included in the analysis; 58 underwent laparoscopy and 14 underwent laparotomy. With respect to surgical complications, laparoscopy was associated with a significantly lower complication rate, less blood loss, a shorter operative time, and a higher hospitalization fee than laparotomy. Survival was not significantly different between the laparoscopy and laparotomy groups.
Although survival was not significantly different between the two surgical approaches, the rate of surgical complications was much lower in the laparoscopy than laparotomy group.
比较腹腔镜与开腹手术治疗早期宫颈残端癌患者的特点、手术并发症和总体生存率。
回顾性分析 2000 年 1 月至 2018 年 6 月在复旦大学妇产科医院接受国际妇产科联合会（FIGO，2009）分期为 IA2 至 IIA2 期宫颈残端癌的腹腔镜或开腹手术治疗的患者。所有患者的临床特征、病理特征、并发症和随访数据均被检索。
72 例患者纳入分析，其中 58 例行腹腔镜手术，14 例行开腹手术。在手术并发症方面，腹腔镜组的并发症发生率明显低于开腹组，出血量更少，手术时间更短，住院费用更高。腹腔镜组与开腹组的生存率无显著差异。
尽管两种手术方法的生存率无显著差异，但腹腔镜组的手术并发症发生率明显低于开腹组。
