国际妇产科学杂志 ›› 2015, Vol. 42 ›› Issue (4): 461-465.

• 综述 • 上一篇    下一篇

腹腔镜在妇科恶性肿瘤中的应用现状与展望

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:2015-08-15 发布日期:2015-08-15
  • 通讯作者: 马耀梅

The Prospect and Application State of Laparoscopy Used in Gynecologic Oncology

MA Yao-mei,QU Peng-peng   

  1. Tianjin Central Hospital of Gynecology and Obstetrics,Tianjin 300100,China
  • Received:1900-01-01 Revised:1900-01-01 Published:2015-08-15 Online:2015-08-15
  • Contact: MA Yao-mei

摘要: 腹腔镜在妇科肿瘤领域的应用范围越来越广。循证医学已证明腹腔镜全面分期手术可作为子宫内膜癌的理想术式,该手术与开腹手术的肿瘤结局没有差异,并且比开腹手术获益更多。许多回顾性研究已证实了早期宫颈癌的腹腔镜根治性子宫切除术安全有效,大规模的随机对照试验(RCT)正在进行中。越来越多的肿瘤中心尝试卵巢癌的腹腔镜肿瘤细胞减灭术,已初步证实其安全性和有效性。单孔腹腔镜手术以美观程度更高的优势开始应用于妇科肿瘤手术。越来越多的证据表明腹腔镜手术不改变妇科肿瘤患者的预后,而且创伤小、并发症少,提高了患者的生存质量。腹腔镜手术在妇科肿瘤中占据越来越重要的地位,使越来越多的妇科肿瘤患者受益。

关键词: 腹腔镜检查, 生殖器肿瘤, 女(雌)性, 外科手术, 微创性, 子宫切除术, 肿瘤细胞减灭术

Abstract: Laparoscopic surgery has been more and more widely utilized in the field of gynecological oncology. It was confirmed that laparoscopic staging was the optimal surgery for endometrial cancer with evidence-based medicine, the oncological results of laparoscopic surgery for endometrial cancer is as good as an open approach with many benefits. Many retrospective studies conclude that a laparoscopic approach to radical hysterectomy for the treatment of early stage cervical cancer is feasible and safe, large-scale randomized clinical trial(RCT) is being performed. More and more tumor centers try to performed the laparoscopic cytoreduction of ovarian cancer,its feasibility and safety was preliminary confirmed. Single incision laparoscopic surgery started to used in gynecological surgery with higher advantage of cosmetic benefit. More and more evidence turned to indicate laparoscopic surgrey improved qualities of life of patient with less trauma and complications and without compromising oncologic outcomes. Laparoscopic operations are more and more important in gynecological oncology, and make more benefit in patients with gynecologic tumor.

Key words: Laparoscopy, Genital neoplasms, female, Surgical procedures, minimally invasive, Hysterectomy