子宫内膜癌微创手术的研究进展

医学模式转变为微创外科的发展带来了机遇,随着科学及医疗技术的不断创新,近二十年来微创技术迅速发展,应用于妇科肿瘤领域并取得了满意的效果。其具有手术切口比较小、术中出血量少、并发症的发生率低及住院时间和恢复时间短等优点。不仅如此,与传统的开腹手术相比,子宫内膜癌微创手术的淋巴结切除数目、患者整体生存率、无瘤生存期等指标无明显差异。因此微创手术治疗子宫内膜癌是安全可行的。目前可用于治疗子宫内膜癌的微创技术包括传统腹腔镜、单孔腹腔镜、机器人手术系统以及机器人辅助单孔腹腔镜技术等。现对各种微创技术在子宫内膜癌中的应用及其优劣性作一介绍,希望能为临床工作者根据患者情况选择手术方式提供一定的帮助。

Progress of the Minimally Invasive Operation Technologies for Endometrial Cancer

The transformations of medical pattern bring the challenge for the minimally invasive surgical. With the innovation of the science and medical technology, minimally invasive technology developed quickly in recent 20 years. It has been applied to the management of gynecologic malignancies with promising result. Its advantage involving the relatively small incision, less intraoperative blood loss and operative complication, shorter hospital stay, faster recovery and so on. Not only that, compared with traditional laparotomy, it has no obvious difference with regard to the number of dissected lymph nodes, overall and disease-free survival rates. So it is safety and feasibility to treat endometrial cancer. At present, minimally invasive operation technologies for endometrial cancer, including traditional laparoscopic surgery, laparoscopic single-site surgery, robotic surgery and robot assisted laparoscopic single-site surgery. In this article the application of minimally invasive surgical in treating endometrial cancer is reviewed, involving the advantages, limitations and future direction of minimally invasive surgery. Hoping to provide some help for clinicians according to patients condition to choose operation.