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首页> 外文期刊>Journal of minimally invasive gynecology >Laparoscopic radical hysterectomy with pelvic lymphadenectomy in early invasive cervical cancer.
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Laparoscopic radical hysterectomy with pelvic lymphadenectomy in early invasive cervical cancer.

机译：腹腔镜根治性子宫切除术与盆腔淋巴结清扫术在早期浸润性宫颈癌中的关系。

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摘要

Laparoscopic radical hysterectomy is one surgical procedure currently performed to treat gynecologic cancer. The objective of this review was to update the current knowledge of laparoscopic radical hysterectomy in early invasive cervical cancer. Articles indexed in the MEDLINE database using the key words Laparoscopic radical hysterectomy Studies of laparoscopic radical hysterectomy for treatment of early cervical cancer with a minimum study population of 10 patients were selected. The laparoscopic approach was associated with less surgical morbidity (surgical bleeding) and with shorter length of hospital stay, although the duration of the operation may be longer. Laparoscopic radical hysterectomy with endoscopic pelvic lymphadenectomy, and paraaortic lymphadenectomy if needed, is a safe surgical option for treatment and staging of early invasive cervical cancer considering surgical risk, intraoperative bleeding, intraoperative and postoperative complications, and patient recovery. It is important to respect the learning curve. Surgical advances including new laparoscopic instrumentation and, in particular, use of robotics will contribute to reducing the duration of the operation and to facilitating learning and teaching of the procedure.
机译：腹腔镜根治性子宫切除术是目前用于治疗妇科癌症的一种外科手术方法。这篇综述的目的是更新在早期浸润性宫颈癌中腹腔镜根治性子宫切除术的最新知识。选择关键词腹腔镜根治性子宫切除术在MEDLINE数据库中建立索引的文章。选择腹腔镜根治性子宫切除术治疗早期子宫颈癌的研究，最低研究人群为10名患者。尽管手术时间可能更长，但腹腔镜手术的发病率较低（手术出血）且住院时间较短。考虑到手术风险，术中出血，术中和术后并发症以及患者的康复情况，腹腔镜根治性子宫切除术结合内镜盆腔淋巴结清扫术和必要时进行主动脉旁淋巴结清扫术是治疗和治疗早期浸润性宫颈癌的安全手术选择。尊重学习曲线很重要。外科手术的进步，包括新型腹腔镜仪器的使用，特别是机器人的使用，将有助于减少手术时间并促进手术的学习和教学。

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