Laparoscopic surgery for clear cell endometrial carcinoma, is it a realistic approach?

E. Zachariou, V. Pergialiotis, E. Iliopoulos, D. Haidopoulos
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Abstract

Clear cell endometrial carcinoma is an aggressive form of endometrial cancer that has a poor prognosis for survival. Over the past ten years, laparoscopic surgery has replaced open surgery as the preferred method of treating early-stage endometrial cancer. However, its effect on the prognosis of patients with clear cell carcinoma is still unclear. In the current systematic review, we examined the information that was published in the following databases: Medline, Scopus, Clinicaltrials.gov, EMBASE, Cochrane Central Register of Controlled Trials, CENTRAL, and Google Scholar. Three studies were found to be significantly diverse; as a result, meta-analysis was not possible. Current research reveals that compared to traditional laparotomy, minimally invasive surgery does not significantly influence progression-free and overall survival rates; nevertheless, given the relative dearth of data, more research is required before the technique’s safety can be determined.
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腹腔镜手术治疗透明细胞子宫内膜癌是一种现实的方法吗?
透明细胞子宫内膜癌是一种侵袭性子宫内膜癌,预后差。在过去的十年里,腹腔镜手术已经取代开放手术成为治疗早期子宫内膜癌的首选方法。然而,其对透明细胞癌患者预后的影响尚不清楚。在当前的系统评价中,我们检查了发表在以下数据库中的信息:Medline、Scopus、Clinicaltrials.gov、EMBASE、Cochrane Central Register of Controlled Trials、Central和Google Scholar。三项研究发现差异显著;因此,meta分析是不可能的。目前的研究表明,与传统剖腹手术相比,微创手术对无进展生存率和总生存率没有显著影响;然而,考虑到数据的相对缺乏,在确定这项技术的安全性之前,还需要进行更多的研究。
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