Comparing laparoscopy and laparotomy procedures in the radical hysterectomy surgery for endometrial cancer: a basic review.

Comparing laparoscopy and laparotomy procedures in the radical hysterectomy surgery for endometrial cancer: a basic review.
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子宫内膜癌根治性子宫切除术中腹腔镜检查和剖腹手术的比较:基本回顾。

DOI:
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发表时间:
2021
影响因子:
2.2
通讯作者:
N. Asl
N. Asl
中科院分区:
医学4区
文献类型:
--
作者:
Shadi Haddad;K. Ghadimi;Ranna Abrishamkar;N. Asl

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妇科癌症特别是子宫内膜癌给不同社会的卫生保健系统带来了巨大的负担。在这方面,不同的研究对子宫内膜癌的筛查、诊断和治疗进行了评估。不同的治疗方法有不同的生存率、预后和复发率。剖腹手术和腹腔镜根治性子宫切除术(RH和LRH)是目前治疗子宫内膜癌最常用的两种手术方法。在这篇系统综述中,我们研究了所有比较国际妇产科学联合会(International Federation of Gynecology and Obstetrics, FIGO) I - III期子宫内膜癌患者RH和LRH两种治疗技术的文章。收集和分析两组患者的出血量和输血率、手术时间、住院时间、术中术后并发症、平均结节数、复发率、辅助治疗等数据。在回顾了五项队列研究后,我们发现腹腔镜手术治疗子宫内膜癌优于开腹手术,因为腹腔镜手术的住院时间、出血量以及术中和术后并发症都低于开腹手术。
Gynecological cancers especially endometrial cancer have put a huge burden on health care systems in different societies. In this regard, different studies have evaluated screening, diagnosis and treatments of endometrial cancer. Different survival rates, prognosis and recurrence rates have been reported by variable treatment methods. Laparotomy and laparoscopic radical hysterectomy (RH and LRH) are nowadays two most common surgical methods for endometrial cancer. In this systematic review, we investigated all article comparing two treatment techniques regarding RH and LRH in women with endometrial cancer who were classified as International Federation of Gynecology and Obstetrics (FIGO) stage I to III. Data regarding to blood loss and transfusion rate, operative time, duration of hospital stay, complications as intraoperative and postoperative, mean nodules counts, recurrent rate, adjuvant therapy were collected and analyzed. After reviewing five cohort studies, we indicated that laparoscopic procedures were better than laparotomy for managing endometrial cancer because the duration of hospitalization, blood loss and intraoperative and postoperative complications in laparoscopy procedure were lower than laparotomy procedures.
DOI: 10.1200/jco.2009.22.3248
发表时间: 2009-11-10
影响因子: 45.3
作者:
Walker, Joan L.;Piedmonte, Marion R.;Sharma, Sudarshan K.
通讯作者: Sharma, Sudarshan K.