摘要
早期宫颈癌手术方式主要包括开腹手术和腹腔镜手术,由于缺乏一项满意的前瞻性随机对照研究来证明这两种手术方式之间的差异,所以对于早期宫颈癌最佳手术方式的选择一直以来争议不断。2018年发表的LACC研究显示宫颈癌腹腔镜手术比开腹术式有更高的死亡率和复发率,并且在围手术期并发症和术后生活质量改善中也未显示出优势。宫颈癌腹腔镜手术是否就此退出历史舞台?一直以来不同学者从不同角度进行分析和讨论,本文阐述了目前的现状与争议,以及对于宫颈癌手术的改进方式。
Surgical methods for early cervical cancer mainly include open surgery and laparoscopic surgery. Due to the lack of a satisfactory prospective randomized controlled study to prove the difference between these two surgical methods, the selection of the best surgical method for early cervical cancer has been controversial. A LACC study published in 2018 showed that laparoscopic cervical cancer surgery had a higher mortality and recurrence rate than open surgery, and did not show an advantage in perioperative complications or postoperative quality of life improvement. Does cervi-cal cancer laparoscopic surgery withdraw from the stage of history? Different scholars have been analyzing and discussing from different angles, this paper describes the current situation and con-troversy, as well as the improvement of cervical cancer surgery.
出处
《临床医学进展》
2023年第7期11750-11756,共7页
Advances in Clinical Medicine
