亲爱的研友该休息了!由于当前在线用户较少,发布求助请尽量完整地填写文献信息,科研通机器人24小时在线,伴您度过漫漫科研夜!身体可是革命的本钱,早点休息,好梦!

Evaluation of total laparoscopic hysterectomy with lymphadenectomy in surgical treatment of endometrial cancers

医学 剖腹手术 子宫内膜癌 腹腔镜检查 淋巴结切除术 子宫切除术 失血 输血 外科 阶段(地层学) 腹腔镜手术 癌症 内科学 生物 古生物学
作者
Andrzej Malinowski,Dominika Majchrzak-Baczmańska,Krzysztof Pogoda,Grażyna Maciołek-Blewniewska,Beata Antosiak
出处
期刊:Ginekologia Polska [Via Medica]
卷期号:84 (3) 被引量:2
标识
DOI:10.17772/gp/1563
摘要

The study was conducted to evaluate the efficacy feasibility and safety of total laparoscopic hysterectomy (TLH) with lymphadenectomy in the treatment of endometrial cancerThe retrospective study included 31 patients with endometrial cancer who underwent TLH with lymphadenectomy and 42 patients with endometrial cancer who were operated by laparotomy. In both groups the following parameters were analyzed: age, BMI, accompanying diseases, previous surgeries, parity duration of the surgery blood loss (complete blood count before and after the operation was compared), necessity of blood transfusion, length of hospital stay uterine volume, grade, stage of endometrial cancer (FIGO), and intra/ postoperative complications.Mean age of patients was lower in the laparoscopic group than in women operated by laparotomy: 54 and 64, respectively (p = 0.0001). There were no significant differences between both groups in BMI, uterine volume, grade, staging (FIGO), and parity The percentage of patients with accompanying chronic diseases in the TLH group was lower than in the laparotomy group: 48.39% and 83.34%, respectively (p = 0,032). There were no significant differences between both group in the history of previous laparotomies (p = 0.704). Mean duration of surgery was shorter in the case of laparotomy than in case of laparoscopy: 130.6 and 151.77, respectively (p = 0.003). Laparotomy was associated with greater blood loss during surgery Statistically significantly higher decrease in the Hb concentration and Hct values was noted in the group operated by laparotomy when compared to laparoscopy (mean values.: Hb-1.1 7 g/dl, Hct-3.49% for the TLH technique and Hb-7.8 g/dl Hct-5.47% for laparotomy; p = 0.011-Hb; p = 0.003-Hct). Mean hospital stay after laparoscopy was shorter than after laparotomy--4 and 9 days, respectively (p = 0,0001). The influence of the operational technique on the number of pelvic lymph nodes taken for histopathological examination was evaluated. No statistically significant correlation between the number of lymph nodes taken for histopathological examination during the surgery and the operational technique was noted (p = 0.083). Mean number of nodes taken for examination was 15 during the TLH surgery and 19 during laparotomy Postoperative complications were observed in 2 patients from the TLH and in 12 patients from the laparotomy groups (p = 0.038). The most statistically significantly frequent complication in the laparotomy group was postoperative wound infection: 8 (19.05%) patients.Total laparoscopic hysterectomy with lymphadenectomy in endometrial cancer therapy is a safe and feasible procedure. It is characterized by significantly smaller percentage of complications and shorter hospital stay This technique offers an alternative for laparotomy when it is performed by a highly experienced surgeon.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
科研通AI2S应助科研通管家采纳,获得10
1分钟前
coolplex完成签到 ,获得积分10
1分钟前
wwe完成签到,获得积分10
1分钟前
貔貅完成签到 ,获得积分10
2分钟前
yindi1991完成签到 ,获得积分10
4分钟前
hgl完成签到,获得积分10
4分钟前
5分钟前
科研通AI2S应助科研通管家采纳,获得10
5分钟前
5分钟前
华仔应助精明晓刚采纳,获得10
5分钟前
6分钟前
6分钟前
精明晓刚发布了新的文献求助10
6分钟前
糖伯虎完成签到 ,获得积分10
7分钟前
在水一方应助科研通管家采纳,获得10
7分钟前
光合作用完成签到,获得积分10
7分钟前
8分钟前
精明晓刚发布了新的文献求助10
8分钟前
精明晓刚完成签到,获得积分10
8分钟前
9分钟前
搜集达人应助kangkang采纳,获得10
9分钟前
英姑应助科研通管家采纳,获得10
9分钟前
kangkang完成签到,获得积分20
9分钟前
9分钟前
刘紫媛发布了新的文献求助10
10分钟前
故意的冰淇淋完成签到 ,获得积分10
10分钟前
刘紫媛完成签到,获得积分20
10分钟前
Lucas应助Dave采纳,获得10
10分钟前
刘紫媛关注了科研通微信公众号
10分钟前
10分钟前
Akitten发布了新的文献求助10
10分钟前
草木完成签到 ,获得积分20
11分钟前
完美世界应助科研通管家采纳,获得10
11分钟前
领导范儿应助科研通管家采纳,获得10
11分钟前
Orange应助Boren采纳,获得10
11分钟前
12分钟前
Boren发布了新的文献求助10
12分钟前
大个应助Boren采纳,获得10
12分钟前
Raunio完成签到,获得积分10
12分钟前
Akitten发布了新的文献求助10
12分钟前
高分求助中
The Mother of All Tableaux: Order, Equivalence, and Geometry in the Large-scale Structure of Optimality Theory 3000
A new approach to the extrapolation of accelerated life test data 1000
ACSM’s Guidelines for Exercise Testing and Prescription, 12th edition 500
Indomethacinのヒトにおける経皮吸収 400
Phylogenetic study of the order Polydesmida (Myriapoda: Diplopoda) 370
基于可调谐半导体激光吸收光谱技术泄漏气体检测系统的研究 350
Robot-supported joining of reinforcement textiles with one-sided sewing heads 320
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 3990351
求助须知:如何正确求助?哪些是违规求助? 3532158
关于积分的说明 11256513
捐赠科研通 3271046
什么是DOI,文献DOI怎么找? 1805207
邀请新用户注册赠送积分活动 882302
科研通“疑难数据库(出版商)”最低求助积分说明 809234