正确对待子宫颈癌腹腔镜手术
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摘要
<正>宫颈癌是我国妇科肿瘤的第一位癌症。根据我国国家癌症中心数据,2015年宫颈癌新发98 900例,死亡30 500例,成为威胁我国妇女生命、健康的重要杀手[1]。而且我国的子宫颈癌发病率逐年上升,特别是近20年来,宫颈癌患者明显年轻化,要求治疗后保留卵巢功能、性功能甚至生育功能的呼声日益增加。当前宫颈癌的手术治疗占到80%以上[2-5],成为宫颈癌治疗的第一选择。一、宫颈癌手术治疗的发展长期以来,开腹子宫广泛性切除术(abdominal radical hysterectomy, ARH)加淋巴结切除术(lymph node dissection, LND)被认为是早期子宫颈癌的标准手术治疗
引文
[1]潘凌亚.否定微创手术为时尚早[N].中国医学论坛报, 2018.11. 24.
[2]曹泽毅.中华妇产科学[M]. 3版.北京:人民卫生出版社,2014:2151-2174.
[3]曹泽毅.中国妇科肿瘤学[M].北京:人民军医出版社,2011:885-908, 924-936.
[4]曹泽毅.子宫颈癌[M].北京:人民卫生出版社, 2017:314-361.
[5]曹泽毅.子宫颈癌-曹泽毅2018观点.北京科技文献出版社, 2018, 10:64-69.
[6]Geetha P, Nair MK. Laparoscopic, robotic and open method of radical hysterectomy for cervical cancer:A systematic review. J Minim Access Surg, 2012, 8(3):67-73.
[7]Naik R, Jackson KS, Lopes A, et al. Laparoscopic assisted radical vaginal hysterectomy versus radical abdominal hysterectomya randomised phase II tr cinical trial:perioperative outcomes and surgicopathological measurements. BJOG, 2010, 117(6):746-751.
[8]Geisler JP, Orr CJ, Khurshid N, et al. Robotically assisted laparoscopic radical hysterectomy compared with open radical hysterectomy. Int J Gynecol Cancer, 2010, 20(3):438-442.
[9]Kruijdenberg CB, van den Einden LC, Hendriks JC, et al. Robotassisted versus total laparoscopic radical hysterectomy in early cervical cancer, a review. Gynecol Oncol, 2011, 120(3):334-339.
[10]Ramirez PT, Frumovitz M, Pareja R, et al. Minimally invasive versus abdominal radical hysterectomy for cervical cancer. N Engl J Med, 2018, 379(20):1895-1904.
[11]Melamed A, Margul DJ, Chen L, et al. Survival after minimally invasive radical hysterectomy for early-stage cervical cancer. N Engl J Med, 2018, 379(20):1905-1914.
[2]曹泽毅.中华妇产科学[M]. 3版.北京:人民卫生出版社,2014:2151-2174.
[3]曹泽毅.中国妇科肿瘤学[M].北京:人民军医出版社,2011:885-908, 924-936.
[4]曹泽毅.子宫颈癌[M].北京:人民卫生出版社, 2017:314-361.
[5]曹泽毅.子宫颈癌-曹泽毅2018观点.北京科技文献出版社, 2018, 10:64-69.
[6]Geetha P, Nair MK. Laparoscopic, robotic and open method of radical hysterectomy for cervical cancer:A systematic review. J Minim Access Surg, 2012, 8(3):67-73.
[7]Naik R, Jackson KS, Lopes A, et al. Laparoscopic assisted radical vaginal hysterectomy versus radical abdominal hysterectomya randomised phase II tr cinical trial:perioperative outcomes and surgicopathological measurements. BJOG, 2010, 117(6):746-751.
[8]Geisler JP, Orr CJ, Khurshid N, et al. Robotically assisted laparoscopic radical hysterectomy compared with open radical hysterectomy. Int J Gynecol Cancer, 2010, 20(3):438-442.
[9]Kruijdenberg CB, van den Einden LC, Hendriks JC, et al. Robotassisted versus total laparoscopic radical hysterectomy in early cervical cancer, a review. Gynecol Oncol, 2011, 120(3):334-339.
[10]Ramirez PT, Frumovitz M, Pareja R, et al. Minimally invasive versus abdominal radical hysterectomy for cervical cancer. N Engl J Med, 2018, 379(20):1895-1904.
[11]Melamed A, Margul DJ, Chen L, et al. Survival after minimally invasive radical hysterectomy for early-stage cervical cancer. N Engl J Med, 2018, 379(20):1905-1914.