摘要
Abstract
[ Objective ] To explore the value of comprehensive staging operation for early ovarian cancer under laparoscope. [ Methods ] The outcomes of 64 patients with early ovarian cancer who underwent laparoscope (n=29) or laparotomy (n=35) surgical staging at Shihezi University First Hospital from May 2008 to December 2010 were retrospectively evaluated. The parameters including operation time, intraoperative blood loss, number of resected lymph nodes, postoperative morbidity, gastrointestinal recovery time, postoperative complications and hospital stay were compared between the two groups. [Result] The operation time was 125.35 min ± 40.24 min for the la-paroscopy group and 148.56 ±58.13 min for the laparotomy group (P ＜0.05). The intraoperative blood loss was 171.25±115.86 for the laparoscopy group and 356.89+120.34 for the laparotomy group (P ＜0.05). The number of pelvic lymphnode resected was 20.54±3.78 and 21.47±2.16 for the laparoscopy group and laparotomy group, respectively (P ＞0.05). Compared with the laparotomy group, the laparoscopy group had short hospital stay [(9.28 ± 3.56) d vs. (18.56 ± 2.13) d, P ＜0.05], less postoperative morbidity [8 case (27.6%) vs. 27 case (77.1%), P ＜0.05], shorter gastrointestinal recovery time [(1.5±0.91) d vs. (2.7±1.02) d, P ＜0.05] and less wound infection rate [0 case (0.0%) vs. 9 case (25.7%), P ＜0.05]. No significant difference was found in postoperative complications [3 case (10.3%) vs. 5 case (14.3%)] between the two groups (P ＞0.05). [Conclusion] Compared with laparotomy, comprehensive staging operation for early ovarian cancer under laparoscope can achieve the same therapeutic effect, has advantages of minor trauma, fast postoperative recovery, so it is feasible and safe for early ovarian cancer.关键词
腹腔镜/早期卵巢癌/全面分期手术Key words
laparoscope/ early ovarian cancer/ comprehensive surgical staging分类
医药卫生
