肥胖型早期子宫内膜癌腹腔镜与开腹手术的对比研究

摘要

Objective:To evaluate the feasibility and efficacy of laparoscpy for early endometrial cancer in obese patients.Method:A total of 43 early endometrial cancer in obese patients were carried laparoscopic (LPS group,n=18) or laparotomy (LPT group,n=25) surgeries treatment in January 2007 to January 2012.The operation time,intraoperative blood loss,number of resected pelvic lymph nodes,gastrointestinal recovery time,and postoperative complications, hospital stay were recorded and compared between the two groups.Result:LPS group showed significantly less intraoperative blood loss,and shorter gastrointestinal recovery time,and hospital stay(P<0.05).There were no significant difference in the number of resected pelvic lymph nodes and postoperative complications(P>0.05).Conclusion:Compared with open surgery,laparoscopic surgery has the advantages of less blood and quick recovery in the treatment of early endometrial cancer in obese patients.%目的：探讨腹腔镜治疗肥胖型早期子宫内膜癌的可行性及临床效果。方法：2007年1月-2012年1月43例肥胖型子宫内膜癌患者(BMI 30~40 kg/m2)，分别施行腹腔镜手术(n=18)和开腹手术(n=25)。比较两组手术时间、术中出血量、淋巴结切除数量、术后排气时间、并发症、术后住院时间。结果：腹腔镜组术中出血量明显少于开腹组(P<0.05)。与开腹组相比，腹腔镜组术后肛门排气时间和住院时间明显短(P<0.05)。两组手术时间、盆腔淋巴结切除数目、术后并发症比较差异无统计学意义(P>0.05)。结论：肥胖型早期子宫内膜癌实施腹腔镜手术较开腹手术相比，具有安全、出血少、恢复快等优势。