国际妇产科学杂志

国际妇产科学杂志 ›› 2011, Vol. 38 ›› Issue (6): 546-549.

• 综述 • 上一篇    下一篇

腹腔镜在宫颈癌治疗中的新进展


马耀梅,曲芃芃   

  1. 300100 天津市中心妇产科医院
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2011-12-15 发布日期:2011-12-15

New Progress of Laparoscopy Surgery of Cervical Cancer

MA Yao-mei，QU Peng-peng   

  1. Tianjin Central Hospital of Obstetrics and Gynecology，Tianjin 300100，China
  • Received:1900-01-01 Revised:1900-01-01 Published:2011-12-15 Online:2011-12-15

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摘要： 近20年来腹腔镜在宫颈癌诊治方面的应用日趋广泛，腹腔镜手术出血少，美观，恢复快。腹腔镜用于宫颈癌手术的技术可行性和安全性已得到初步证实，目前尚缺乏多中心大样本的随机前瞻性研究来证实其远期效果。许多腔镜中心还开展腹腔镜下保留神经的广泛子宫切除术，意在减少膀胱、肠道及性功能障碍的发生率，提高患者术后的生活质量。一些腔镜中心对保留生育功能的腹腔镜下广泛宫颈切除术和晚期宫颈癌在初始放化疗前接受腹腔镜下分期及盆腔淋巴结切除术的安全性和有效性也做了研究。

关键词: 宫颈肿瘤, 腹腔镜检查, 治疗应用, 子宫切除术

Abstract: During the past 20 years， there has been an increasing interest on the possible role of laparoscopy in treatment of cervical cancer. Laparoscopic surgery is associated with less blood loss， faster recovery and improved recovery. From the currently existing data， there is no doubt that laparoscopy surgery is technically feasible and operational safety. It's also true that there is no multicenter randomized study to draw safe conclusions on its long-term oncological safety. Many laparoscopic centers carry out the laparoscopic nerve sparing radical cancer surgery（LNSS）， try to reduce the incidence rate of postoperative bladder， bowel and sex dysfunction， and develop the quality life of the patients. Some laparoscopic centers began to research the feasibility and safety of laparoscopic radical trachelectomy for fertility sparing and laparoscopic pelvic lymphadenectomy as staging procedures in patients with advanced cervical carcinoma.

Key words: Uterine cervical neoplasms, Laparoscopy, Therapeutic uses, Hysterectomy