Comparison laparoscopic radical hysterectomy with open surgery for early stage cervical cancer in elderly patients
10.3760/cma.j.issn.1673-4904.2013.12.003
- VernacularTitle:腹腔镜根治性子宫切除术与开放手术治疗老年早期宫颈癌患者的疗效研究
- Author:
Weijun DONG
;
Jianwei ZHOU
- Publication Type:Journal Article
- Keywords:
Hysterectomy;
Laparoscopes;
Uterine cervical neoplasms;
Aged
- From:
Chinese Journal of Postgraduates of Medicine
2013;(12):6-8
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the efficacy of laparoscopic radical hysterectomy and open surgery with early stage cervical cancer in elderly patients.Methods Performed a retrospective study of 195 cases underwent surgical treatment of early stage cervical cancer in elderly patients.According to different approach,the patients were divided into laparoscopic group (66 cases) and open group (129 cases).The operation time,intraoperative blood loss,number of resected lymph nodes,bowel function recovery time,postoperative hospital stay and postoperative complications was compared between two groups.Results The operation time,intraoperative blood loss,bowel function recovery time,postoperative hospital stay in laparoscopic group were significantly shorter than those in open group [(237.6 ±46.9) min vs.(259.3 ± 76.7) min,(214.7 ± 104.8) ml vs.(283.4 ± 137.2) ml,(1.9 ± 1.2) d vs.(2.8 ± 1.5) d,(4.1 ± 3.5) d vs.(6.7 ± 1.4) d,P ＜ 0.05 or ＜ 0.01].There was no significant difference in number of resected lymph nodes and postoperative complications between laparoscopic group and open group (P ＞ 0.05).Conclusion Laparoscopic radical hysterectomy is both safe and effective in elderly patients with early stage cervical cancer.
