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Laparoscopically assisted radical vaginal versus radical abdominal hysterectomy type II in patients with cervical cancer.

机译:腹腔镜辅助根治性阴道癌与根治性Ⅱ型腹腔子宫切除术治疗宫颈癌。

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BACKGROUND: In a retrospective study, we compared a laparoscopic radical vaginal approach with abdominal radical hysterectomy type II for treatment of patients with cervical cancer at International Federation of Gynecology and Obstetrics (FIGO) stages I to III. METHODS: Between January 1991 and March 1994, 70 patients with cervical cancer were treated by radical abdominal hysterectomy, and between August 1994 and May 1999, 70 patients with cervical cancer were treated by laparoscopically assisted radical vaginal hysterectomy. Data from both the abdominal group and the laparoscopic-vaginal group were obtained retrospectively. RESULTS: The mean duration of surgery was significantly longer for the laparoscopic-vaginal approach than for the abdominal approach (292.9 vs 209.9 min). Significantly more pelvic lymph nodes were removed by laparoscopy (27 vs 10.7). Blood loss and transfusion rates were significantly lower in the laparoscopic-vaginal group. Intraoperative complications were seen more often during laparoscopic-vaginal surgery (p < 0.05). Early postoperative complications occurred significantly more frequently after the abdominal approach. The mean duration of hospital stay was significantly shorter for patients treated by laparoscopic-vaginal surgery (11.4 vs 22.8 days). CONCLUSION: Compared with laparotomy, the laparoscopic-vaginal approach for treatment of cervical cancer is associated with lower rates of transfusion and early postoperative morbidity.
机译:背景:在一项回顾性研究中,我们比较了国际妇产科联合会(FIGO)I至III期的腹腔镜根治性阴道入路与II型腹部根治性子宫切除术的治疗效果。方法:1991年1月至1994年3月,对70例宫颈癌患者进行了根治性腹腔子宫切除术; 1994年8月至1999年5月,对70例宫颈癌患者进行了腹腔镜辅助的阴道全子宫切除术。回顾性地收集了来自腹部组和腹腔镜-阴道组的数据。结果:腹腔镜-阴道入路的平均手术时间明显长于腹部入路(292.9 vs 209.9分钟)。腹腔镜检查显着清除了更多的盆腔淋巴结(27比10.7)。腹腔镜阴道组的失血量和输血率显着降低。在腹腔镜阴道手术中,术中并发症的发生率更高(p <0.05)。腹部入路后,早期术后并发症发生的频率明显更高。经腹腔镜阴道手术治疗的患者的平均住院时间明显缩短(分别为11.4天和22.8天)。结论:与剖腹术相比,腹腔镜阴道治疗宫颈癌与输血率低和术后早期发病有关。

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