腹腔镜手术与开腹手术在早期卵巢癌中的应用探讨

Application value of laparoscopy versus laparotomy in early ovarian cancer

摘要:

目的 通过比较腹腔镜手术与开腹手术在早期卵巢癌中的临床资料，探讨2种手术方式在早期卵巢癌中的应用价值。方法 收集在重庆医科大学附属第一医院妇科确诊并治疗的81例早期卵巢癌患者临床资料（其中43例行腹腔镜手术，38例行开腹手术），并对其进行术后临床随访。比较分析腹腔镜手术组和开腹手术组早期卵巢癌患者的相关临床指标。结果 比较发现，腹腔镜手术组尿管留置时间、住院时间、肛管排气时间均优于开腹手术组（P<0.05），而术中出血量、并发症发生率、肿瘤破裂发生率及3年局部复发率、远处转移率和生存率，2组无统计学差异（P>0.05）。结论 在早期卵巢癌治疗中，腹腔镜手术与开腹手术3年局部复发率、远处转移率和生存率无差异，但腹腔镜手术可以缩短患者术后引流管留置时间、住院时间和肛管排气时间。

Abstract:

Objective To compare the application value of laparoscopic surgery and open surgery in early ovarian cancer.Methods We collected the clinical data of 81 patients with early ovarian cancer diagnosed and treated in the Department of Gynecology of The First Affiliated Hospital of Chongqing Medical University，including 43 patients undergoing laparoscopic surgery and 38 patients undergoing open surgery. The patients were followed up after operation. The clinical indicators of the laparoscopy and laparotomy groups were compared.Results The laparoscopy group showed significantly shorter urinary catheter indwelling time，length of hospital stay， and time to first flatus than the laparotomy group（all P<0.05）. The two groups had no significant differences in intraoperative blood loss，the incidence of complications，the incidence of tumor rupture，and three-year local recurrence rate，distant metastasis rate，and survival rate（all P>0.05）.Conclusion In the treatment of early ovarian cancer，laparoscopic surgery does not differ from laparotomy in the three-year local recurrence rate，distant metastasis rate，or survival rate，but laparoscopic surgery can shorten the postoperative catheter indwelling time，hospital stay，and time to first flatus of patients.