妇科肿瘤微创手术中使用腔镜吻合器封闭切缘预防肿瘤播散的前瞻性研究。
Prospective Study on the Use of Endo-Stapler for Enclosed Colpotomy to Prevent Tumor Spillage in Gynecologic Oncology Minimally Invasive Surgeries.
机构信息
Department of Gynaecological Endoscopy, Eva Women's Hospital, Ahmedabad, India.
出版信息
JSLS. 2023 Jul-Sep;27(3). doi: 10.4293/JSLS.2023.00019.
Abstract
BACKGROUND AND OBJECTIVES
This is a prospective trial of the endo-stapler application for vaginal closure before colpotomy in cases of carcinoma endometrium and carcinoma cervix, managed by minimally invasive surgery with due consideration of its surgical technique and short-term oncologic follow-up outcomes.
METHODS
This was a prospective, single center study completed between March 1, 2020 and December 31, 2022. A total of 62 patients (43 cases of carcinoma endometrium and 19 cases of carcinoma cervix) were recruited for the study. Oncologic survival outcomes at the end of 1 and 2 years were documented.
RESULTS
There were no major intraoperative bowel, urinary, or vascular injuries. None of the cases required conversion to laparotomy peroperatively. Our study had 8 patients with carcinoma endometrium (8/43) and 7 patients of carcinoma cervix (7/19) who have completed 24 months of follow-up without any recurrence to date.
CONCLUSION
Endo-stapler application for enclosed colpotomy to prevent tumor spillage is a futuristic step in gynecologic oncology cases managed by laparoscopy.
摘要
背景与目的
本研究前瞻性评估了在子宫内膜癌和宫颈癌患者中，经皮腹腔镜手术前应用吻合器进行阴道封闭以避免肿瘤外溢的效果，重点关注其手术技术和短期肿瘤学随访结果。
方法
这是一项于 2020 年 3 月 1 日至 2022 年 12 月 31 日期间在单中心进行的前瞻性研究。共纳入 62 例患者（43 例子宫内膜癌和 19 例宫颈癌）。记录了 1 年和 2 年的肿瘤生存结果。
结果
术中无严重的肠、尿或血管损伤。无 1 例患者需要术中转为剖腹手术。本研究中，8 例子宫内膜癌患者（8/43）和 7 例宫颈癌患者（7/19）已完成 24 个月的随访，目前尚未复发。
结论
对于经腹腔镜手术治疗的妇科肿瘤患者，吻合器用于闭合性阴道切开术以防止肿瘤外溢是未来的一个重要步骤。
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**解析**：
- 原文中的“Laparoscopic Radical Hysterectomy”是指腹腔镜下根治性子宫切除术；
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