国际妇产科学杂志

国际妇产科学杂志 ›› 2014, Vol. 41 ›› Issue (4): 339-341.

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妇科恶性肿瘤微创手术安全性

陈亚侠，谢幸   

  1. 310006 浙江大学医学院附属妇产科医院
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2014-08-15 发布日期:2014-08-15

Safety of Minimally Invasive Surgery in Gynecologic Oncology

CHEN Ya-xia, XIE Xing   

  1. Women′s Hospital, School of Medicine, Zhejiang University, Hangzhou 310006, China
  • Received:1900-01-01 Revised:1900-01-01 Published:2014-08-15 Online:2014-08-15

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摘要： 由于妇科恶性肿瘤患者相对良性妇科病患者年龄较大、手术过程复杂、手术时间长，恶性肿瘤又存在创面种植、复发等，不少医生对妇科恶性肿瘤施行微创手术的围手术期及肿瘤预后的安全性存在顾虑。目前在妇科恶性肿瘤中使用微创手术的比例远不及在妇科良性疾病中的比例。但大量文献报道，在子宫颈癌、子宫内膜癌、卵巢癌等妇科恶性肿瘤中行腹腔镜下根治性手术，不论是在围手术期的并发症发生率还是肿瘤的预后，与传统的开腹手术比较均相似甚至更优。因此，熟练掌握腹腔镜手术技巧的医生在妇科恶性肿瘤治疗中施行微创根治性手术是可行、合理和安全的。

关键词: 生殖器肿瘤, 女（雌）性, 腹腔镜检查, 宫颈肿瘤, 子宫内膜肿瘤, 卵巢肿瘤

Abstract: Patients with gynecological malignant tumor are relatively older than patients with benign gynecological diseases. The operation process for gynecological cancers is more complicated and need longer operation time than for benign gynecological diseases. Malignant tumor has possibility of wound planting and recurrence. Many doctors worry about peri-operation complications and the prognosis of patients with gynecologic cancers received minimally invasive operation. At present, the minimally invasive operation in gynecological malignant tumor was far less than in the benign gynecological diseases. But a lot of literature shows that in cervical cancer, endometrial cancer, ovarian cancer and other gynecological malignant tumors, the prognosis and peri-operation complication rate in patients treated with laparoscopic radical operation are similar or even better than patients treated with traditional open operation. In conclusion, minimally invasive treatment of gynecologic malignant tumor by doctors with laparoscopic operation skills is feasible, reasonable and safe.

Key words: Genital neoplasms, female, Laparoscopy, Uterine cervical neoplasms, Endometrial neoplasms, Ovarian neoplasms