1957年至1973年间666例宫颈癌患者行阴道根治性子宫切除术加或不加系统性腹膜外盆腔淋巴结清扫术的报告（作者译）

[Vaginal radical hysterectomy with and without systemic extraperitoneal pelvic lymphadenectomy for cervical cancer. A report of 666 patients operated upon between the years 1957 and 1973 (author's transl)].

作者信息

Akashi E, Kudou R, Kusanagi T, Adachi K, Mizuuchi H, Kawase N, Hashimoto M

出版信息

Nihon Sanka Fujinka Gakkai Zasshi. 1980 May;32(5):567-76.

Abstract

The report presents 850 patients with cervical cancer operated with vaginal method 1957-1973. Vaginal radical hysterectomy and systemic extraperitoneal pelvic lymphadenectomy were done in 590 patients. A 5 year survival rate in Stage I was 90.4%, in Stage II 76.5%, and in Stage III 72.2%. The 10 survival rate for 462 patients were 86.1, 69.9 and 44.4% respectively. No operative mortality has occurred to date. The incidence of lymph node metastasis in stage I was 9.5%, in Stage II 25.9% and in Stage III 34.9%. The 5 year survival rate of the patients without lymph node metastasis was 88.2% and of those with lymph node metastasis 49.5%. Radical vaginal hysterectomy without the removal of regional lymph node were done in 76 patients. The 5 year survival rate was 86.8%. There was one postoperative death in this series. Vaginal hysterectomy were done in 184 patients. The 5 year survival rate was 92.4%.

摘要

该报告呈现了1957年至1973年间采用阴道手术方法治疗的850例宫颈癌患者。590例患者接受了阴道根治性子宫切除术及系统性腹膜外盆腔淋巴结清扫术。I期患者的5年生存率为90.4%，II期为76.5%，III期为72.2%。462例患者的10年生存率分别为86.1%、69.9%和44.4%。迄今为止未发生手术死亡。I期患者淋巴结转移发生率为9.5%，II期为25.9%，III期为34.9%。无淋巴结转移患者的5年生存率为88.2%，有淋巴结转移患者的5年生存率为49.5%。76例患者进行了未切除区域淋巴结的根治性阴道子宫切除术。5年生存率为86.8%。该系列中有1例术后死亡。184例患者进行了阴道子宫切除术。5年生存率为92.4%。