Duraisamy Kavitha Yogini, Ezhilmani Malathi, Balasubramaniam Devi, Periyasamy Kodeeswari
Department of Endogynecology, Gem Hospital and Research Centre, 45A, Pankaja Mills Road, Ramanathapuram, Coimbatore, Tamil Nadu 641045 India.
J Obstet Gynaecol India. 2021 Dec;71(6):621-628. doi: 10.1007/s13224-020-01405-6. Epub 2021 May 17.
Laparoscopic management of endometrial cancer is beneficial in view of decreased operative morbidity and post-operative recovery. In the case of early gynaecological malignancies, it is a safe and feasible mode of surgery.
A prospective study was conducted in our tertiary centre in the period January 2017-December 2019. The study included 51 patients diagnosed with endometrial carcinoma. Demographic details and operative findings have been recorded.
The mean age was 55.47 years; 64.7% were post-menopausal. 86.2% had stage IA disease. All patients underwent laparoscopic staging. The mean operative time was 115 min, estimated blood loss was 82.5 ml, pelvic nodal yield was 13.53, and para-aortic nodes were 20.78. There were no conversions to laparotomy or any intra-operative complications, and none of the patients had recurrence. During post-operative follow-up, 2 patients had lymphocyst, 1 had chylous ascites and 1 had port site hernia. Average hospital stay was 3 days.
In our study, we found that laparoscopic management of endometrial cancer is less morbid and has better post-operative recovery.
鉴于手术发病率降低和术后恢复情况，子宫内膜癌的腹腔镜手术治疗是有益的。对于早期妇科恶性肿瘤，它是一种安全可行的手术方式。
2017年1月至2019年12月期间在我们的三级中心进行了一项前瞻性研究。该研究纳入了51例被诊断为子宫内膜癌的患者。记录了人口统计学细节和手术结果。
平均年龄为55.47岁；64.7%为绝经后患者。86.2%患有IA期疾病。所有患者均接受了腹腔镜分期。平均手术时间为115分钟，估计失血量为82.5毫升，盆腔淋巴结获取数为13.53个，腹主动脉旁淋巴结为20.78个。没有转为开腹手术或出现任何术中并发症，且没有患者复发。术后随访期间，2例患者出现淋巴囊肿，1例出现乳糜性腹水，1例出现切口疝。平均住院时间为3天。
在我们的研究中，我们发现子宫内膜癌的腹腔镜手术治疗并发症较少，术后恢复较好。
