Childers J M, Spirtos N M, Brainard P, Surwit E A
Department of Obstetrics and Gynecology, University of Arizona, Tucson.
Obstet Gynecol. 1994 Apr;83(4):597-600. doi: 10.1097/00006250-199404000-00019.
To determine the feasibility of laparoscopic staging in patients with presumed early stage but incompletely surgically staged adenocarcinoma of the endometrium.
Thirteen patients with incompletely staged adenocarcinoma of the endometrium underwent laparoscopic staging. The women ranged in age from 36-74 years (mean age 64) and weighed 132-201 lb (mean 147.5). The interval between hysterectomy and laparoscopic staging ranged from 14-63 days, for an average of 47. All patients underwent inspection of the entire intraperitoneal cavity, procurement of pelvic washings, and/or pelvic or para-aortic lymphadenectomy, and two patients had remaining ovaries removed.
Extrauterine disease was found in three patients: One had intraperitoneal washings positive for adenocarcinoma, and two had pelvic lymph nodes positive for microscopic carcinoma. The average number of lymph nodes removed was 17.5. There were no intraoperative complications. Estimated blood loss averaged less than 50 mL, and the mean hospital stay was 1.5 days.
Our initial experience indicates that this is a safe, effective procedure that offers a short hospital stay. We consider laparoscopic staging an attractive option for some patients with incompletely staged early adenocarcinoma of the endometrium.
确定对假定为早期但手术分期不完全的子宫内膜腺癌患者进行腹腔镜分期的可行性。
13例手术分期不完全的子宫内膜腺癌患者接受了腹腔镜分期。这些女性年龄在36至74岁之间（平均年龄64岁），体重132至201磅（平均147.5磅）。子宫切除与腹腔镜分期之间的间隔时间为14至63天，平均为47天。所有患者均接受了整个腹腔的检查、盆腔冲洗液采集和/或盆腔或腹主动脉旁淋巴结切除术，2例患者切除了残留卵巢。
3例患者发现子宫外病变：1例腹腔冲洗液腺癌阳性，2例盆腔淋巴结微小癌阳性。平均切除淋巴结数为17.5个。无术中并发症。估计平均失血量少于50毫升，平均住院时间为1.5天。
我们的初步经验表明，这是一种安全、有效的手术，住院时间短。我们认为腹腔镜分期对于一些手术分期不完全的早期子宫内膜腺癌患者是一个有吸引力的选择。
