腹腔镜下广泛性子宫切除术加盆腔淋巴结清扫术临床分析

目的 探讨子宫颈癌、子宫内膜癌腹腔镜下广泛性子宫切除术加盆腔淋巴结清扫术的可行性及应用价值.方法 对3例子宫颈癌,1例子宫内膜癌患者施行了腹腔镜下广泛性子宫切除加盆腔淋巴结清扫术.结果 4例手术全部成功,手术平均时间为4.6 h,术中平均出血量为475 ml,术后恢复自主排尿时间平均为12.5天,肛门排气时间平均为2.5天,切除淋巴结个数平均为23.6,术中无器官损伤、术后无并发症.结论 对于早期子宫颈癌、子宫内膜癌,施行腹腔镜下广泛性子宫切除术加盆腔淋巴结清扫术是安全可靠.手术创伤小,并发症少,术后恢复快的优点.

Clinical Analysis of Laparoscopically Radical Hysterectomy with Lymphadenectomy

Objective To investigate the possibility and value of laparoscopically radical hysterectomy with lymphadenectomy in patients with cervical and endometrial carcinoma.Methods We performed laparoscopically radical hysterectomy with lymphadenectomy on 4 patients (3 cervical and 1 endometrial cancer).Results All were completed laparoscopically. The procedure required an average of 4.6 h,with an average blood loss of 475ml. The average postoperative urination recovery time was 12.5 d.The average postoperative gastrointestinal function recovery time was 2.5 d.The average number of nudes was 23.6.There was no intraopertive and postoperative complications in the patients.Conclusion Laparoscopically radical hysterectomy with lymphadenectomy was feasible and safe for treatment of early stage cervical cancer or endometrial cancer.Also it was a less invasive,less complications and recovery time was reduced.