[腹腔镜入路治疗子宫内膜癌:当前数据和证据]。

Gynakologisch-geburtshilfliche Rundschau Pub Date : 2009-01-01 Epub Date: 2009-06-11 DOI:10.1159/000213059
Patrick Imesch, Konstantin Dedes, Daniel Fink
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引用次数: 2

摘要

子宫内膜癌是瑞士最常见的妇科恶性肿瘤。目前治疗子宫内膜癌的金标准是全腹子宫切除术,双侧输卵管-卵巢切除术,在大多数情况下盆腔和主动脉旁淋巴结切除术。然而,近年来微创手术技术的使用有所增加。几项前瞻性随机试验证明了腹腔镜手术的安全性、可行性和有效性;对生存和无病生存的影响与剖腹手术相当。未来,腹腔镜手术和机器人手术可能对特定人群有效。在此之前,需要进一步的大规模、前瞻性的多中心研究和更长的随访来证实当前的数据。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Laparoscopic approach in endometrial cancer: current data and evidence].

Endometrial cancer is the most common gynecologic malignancy in Switzerland. Nowadays the gold standard for the treatment of endometrial cancer is total abdominal hysterectomy, bilateral salpingo-oophorectomy and in most cases pelvic and para-aortic lymphadenectomy. However, the use of minimally invasive surgical techniques has increased in recent years. Several prospective, randomized trials demonstrate the safety, feasibility and effectiveness of laparoscopy; the impact on survival and disease-free survival is equivalent to that of laparotomy. In future, laparoscopy and maybe robotic surgery could be effective in a selected population. Until then, further large-scale, prospective multicenter studies with longer follow-ups are required to confirm the current data.

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