Comparative analysis of the clinical efficacy of laparoscopic-assisted vaginal and laparotomy in the treatment of early endometrial cancer
10.3760/cma.j.issn.1008-6706.2012.14.007
- VernacularTitle:腹腔镜辅助阴式与开腹手术治疗早期子宫内膜癌的疗效比较
- Author:
Yuehong YANG
;
Min PAN
;
Jian LIN
;
Xuemei CHEN
- Publication Type:Journal Article
- Keywords:
Carcinoma,endometrioid;
Laparoscopy;
Gynecologic surgical procedures
- From:
Chinese Journal of Primary Medicine and Pharmacy
2012;19(14):2094-2095
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compared the clinical efficacy of laparoscopic-assisted vaginal and laparotomy in the treatment of early endometrial cancer.Methods CLinical data of 180 patients with endometrial cancer were analyzed retrospectively,which were randomly divided into two groups:The laparotomy group were underwent conventional abdominal hysterectomy and pelvic lymphadenectomy;Laparoscopic group were underwent laparoscopic-assisted vaginal hysterectomy and pelvic lymph node dissection.Operative time,blood loss,recovery time of gastrointestinal function,length of stay,the number of harvested lymph nodes,complications were compared.Results There were no significant differences in operative time,blood loss,the number of lymph nodes cleaned up between two groups(P ＞0.05).Recovery time of gastrointestinal function,and length of stay in the laparoscopic group was significantly shorter than the laparotomy group,the differences were statistically significant(t =2.898,2.564,P ＜0.05).The complication rates(11.0％ vs 19.1％) were no significant difference(P ＞ 0.05).Following up for 3 months to 27 months,recurfence rates(6.6％ vs 5.6％) and survival rates(98.9％ vs 97.8 ％) were no significant difference(all P ＞ 0.05).Conciusion The clinical efficacy of laparoscopic-assisted vaginal surgical treatment for early endornetrial cancer was significantly superior to laparotomy surgery with advantage of minimally invasive,quick recovery.
