Surgical practice patterns in endometrial cancer: results of the Korean Gynecologic Oncology Group survey
Surgical practice patterns in endometrial cancer: results of the Korean Gynecologic Oncology Group survey
复制标题
DOI：
10.3802/jgo.2009.20.2.107
复制
发表时间：
2009-06-01
影响因子：
3.9
通讯作者：
Ryu, Hee-Sug
中科院分区：
文献类型：
--
作者：
Lee, Taek Sang;Kim, Jae Weon;Ryu, Hee-Sug
目的：这项研究是进行记录目前的实践模式，子宫内膜癌的手术治疗在韩国。方法：分发给131名韩国妇科肿瘤学家，所有成员的韩国妇科肿瘤组。问题涉及子宫切除术的范围，盆腔（PEN）或腹主动脉旁（PAN）淋巴结cEssection，卵巢保存，omenectomy.Results：完成问卷调查，64.1%（84/131）的肿瘤学家在50个研究所返回。32%的受访者采用筋膜外子宫切除术（EH），17%采用改良根治性子宫切除术（MRH）或根治性子宫切除术（RH）。51%的受访者根据肿瘤相关因素选择性地采用子宫切除术。腹腔镜子宫切除术的常规使用率为49%，更常用于经验不足10年的年轻外科医生。PEN剥离术的常规使用率为67%，基于肿瘤相关因素的选择性使用率为33%。常规（43%）或基于肿瘤相关因素（43%）选择性使用PAN剥离/活检。12%的受访者从未使用过PAN解剖/活检。69%的受访者表示，对于患有早期疾病的年轻患者，在手术过程中可以保留外观正常的卵巢，29%的受访者表示，无论年龄或阶段如何，都应该进行双侧卵巢切除术。11%的受访者常规行大网膜切除术，41%的受访者在出现宫外扩散时选择性行大网膜切除术。结论：韩国妇科医生治疗子宫内膜癌的手术方式仍不规范。应开展临床试验，以确定不同外科手术的益处。
Objective: This study was undertaken to document current practice patterns for the surgical treatment of endometrial cancer in Korea.Methods: Questionnaires were distributed to 131 Korean gynecologic oncologists, all members of the Korean Gynecologic Oncology Group. Questions addressed extent of hysterectomy procedure, pelvic (PEN) or paraaortic (PAN) lymph node cEssection, ovarian preservation, and omentectomy.Results: Completed questionnaires were returned by 64.1% (84/131) of the oncologists at 50 institutes. Extrafascial hysterectomy (EH) was used by 32% of respondents and modified radical hysterectomy (MRH) or radical hysterectomy (RH) by 17%. Hysterectomy procedures were selectively employed based on tumor-related factors by 51% of the respondents. Laparoscopic hysterectomy was routinely utilized by 49% and was more commonly used by younger surgeons with 10 years of experience or less. PEN dissection was routinely utilized by 67% and was used selectively based on tumor-related factors by 33%. PAN dissection/biopsy was used either routinely (43%) or selectively based on tumor-related factors (43%). PAN dissection/biopsy had never been employed by 12% of the respondents. Sixty-nine percent of respondents stated that grossly normal looking ovaries can be preserved during surgery in young aged patients with early stage disease, and 29% stated that bilateral oophorectomy should be performed irrespective of age or stage. Omentectomy was routinely performed by 11% of respondents, and was selectively performed when extrauterine spread was present by 41%.Conclusion: Surgical procedures for the treatment of endometrial cancer are still not standardized among Korean gynecologic surgeons. Clinical trials to determine the benefits of the different surgical procedures should be developed.