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首页> 外文期刊>Journal of Korean medical science >Feasibility and safety of laparoscopic surgery for obese Korean women with endometrial cancer: long-term results at a single institution.
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Feasibility and safety of laparoscopic surgery for obese Korean women with endometrial cancer: long-term results at a single institution.

机译：肥胖的韩国子宫内膜癌女性患者进行腹腔镜手术的可行性和安全性：单个机构的长期结果。

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The purpose of this study was to evaluate the surgical feasibility of and survival outcome after laparoscopy in obese Korean women with endometrial cancer which has recently been increasing. We reviewed the medical records of the patients treated at our medical institution between 1999 and 2012. The patients were divided into three groups, non-obese (Body Mass Index [BMI]<25.0), overweight (BMI 25-27.99), and obese (BMI≥28.0). These patient groups were compared in terms of their clinical characteristics, treatment methods, as well as surgical and survival outcomes. In total, 55 of the 278 eligible patients were obese women. There were no differences in the three groups in terms of the proportion of patients who underwent lymphadenectomy, their cancer stage, histologic type, type of adjuvant treatment administered, intra-, post-operative, and long-term complications, operative time, number of removed lymph nodes, blood loss, and duration of hospitalization (P=0.067, 0.435, 0.757, 0.739, 0.458, 0.173, 0.076, 0.124, 0.770, 0.739, and 0.831, respectively). The Disease-Free Survival (DFS) times were 139.1 vs. 121.6 vs. 135.5 months (P=0.313), and the Overall Survival (OS) times were 145.2 vs. 124.8 vs. 139.5 months (P=0.436) for each group, respectively. Obese women with endometrial cancer can, therefore, be as safely managed using laparoscopy as women with normal BMIs.
机译：这项研究的目的是评估最近在增加的韩国肥胖妇女子宫内膜癌的腹腔镜检查的手术可行性和生存结果。我们回顾了1999年至2012年间在我们医疗机构就诊的患者的病历。患者分为三类：非肥胖（身体质量指数[BMI] <25.0），超重（BMI 25-27.99）和肥胖（BMI≥28.0）。比较了这些患者组的临床特征，治疗方法以及手术和生存结果。总共278名合格患者中，有55名是肥胖女性。在接受淋巴结清扫术的患者比例，癌症分期，组织学类型，所用辅助治疗的类型，术中，术后和长期并发症，手术时间，手术次数方面，三组没有差异。去除淋巴结，失血和住院时间（分别为P = 0.067、0.435、0.757、0.739、0.458、0.173、0.076、0.124、0.770、0.739和0.831）。每组的无病生存时间（DFS）为139.1 vs. 121.6 vs.135.5个月（P = 0.313），总生存时间（OS）为145.2 vs. 124.8 vs. 139.5个月（P = 0.436），分别。因此，使用腹腔镜检查可以安全地控制患有子宫内膜癌的肥胖妇女与具有正常BMI的妇女一样安全。

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