关于手术方法和子宫操作器对宫颈癌预后影响的回顾性研究。

IF 2.1 3区 医学 Q2 OBSTETRICS & GYNECOLOGY Archives of Gynecology and Obstetrics Pub Date : 2024-10-30 DOI:10.1007/s00404-024-07746-1
Xinmeng Guo, Jiangnan Song, Shuang Tian, Weiping Li, Jinning Zhang, Yuanqing Yao
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引用次数: 0

摘要

目的:宫颈癌是常见的妇科恶性肿瘤:宫颈癌是一种常见的妇科恶性肿瘤。然而,在这种情况下,最佳手术方法和使用子宫机械手的益处仍不明确。本研究旨在比较使用达芬奇手术系统的不同手术方法(包括腹腔镜、阴道镜和腹腔镜联合手术、腹腔镜和机器人手术)对患者的治疗效果。此外,我们还旨在研究在根治性子宫切除术中使用子宫操作器对宫颈癌患者预后的影响:这项回顾性研究纳入了 2009 年至 2019 年期间在中国人民解放军总医院接受根治性子宫切除术和盆腔淋巴结切除术的 848 例 IA2-IIA2 期宫颈癌患者的数据。研究了患者的人口统计学特征、临床特征、围手术期发现和术后结果:结果:包括体重指数、年龄、FIGO分期、病理类型、肿瘤分化状态和大小在内的患者特征具有可比性。无论疾病分期如何,接受不同类型手术的组别五年生存率相当。使用和不使用子宫操作器手术组的五年生存率相当:结论:本研究中的所有手术方法都具有可比的疗效和安全性。在宫颈癌根治性切除术中使用子宫操作器不会增加死亡风险。
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A retrospective study on the effect of surgical approaches and uterine manipulators on the prognosis of cervical cancer.

Objective: Cervical cancer is a common gynecological malignancy. However, the optimal surgical approach and benefits of uterine manipulator use remain unclear in this context. This study aimed to compare patient outcomes among different surgical approaches including laparoscopic, combined vaginal and laparoscopic, abdominal, and robotic using the da Vinci surgical system. Moreover, we also aimed to examine the impact of uterine manipulator use in radical hysterectomy on the outcomes of patients with cervical cancer.

Methods: This retrospective study included data from 848 patients with cervical cancer stage IA2-IIA2 that underwent a radical hysterectomy and pelvic lymphadenectomy at the Chinese PLA General Hospital between 2009 and 2019. Patient demographic and clinical characteristics, perioperative findings, and postoperative outcomes were examined.

Results: Patient characteristics, including body mass index, age, FIGO stage, pathological type, and tumor differentiation status and size, were comparable. Five-year survival rates were comparable among the groups that underwent different types of surgery regardless of disease stage. Five-year survival rates were comparable between the groups that underwent surgery with and without the use of a uterine manipulator.

Conclusions: All surgical approaches examined in this study had comparable efficacy and safety profiles. The use of uterine manipulators during radical hysterectomy for cervical cancer does not increase the risk of death.

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来源期刊
CiteScore
4.70
自引率
15.40%
发文量
493
审稿时长
1 months
期刊介绍: Founded in 1870 as "Archiv für Gynaekologie", Archives of Gynecology and Obstetrics has a long and outstanding tradition. Since 1922 the journal has been the Organ of the Deutsche Gesellschaft für Gynäkologie und Geburtshilfe. "The Archives of Gynecology and Obstetrics" is circulated in over 40 countries world wide and is indexed in "PubMed/Medline" and "Science Citation Index Expanded/Journal Citation Report". The journal publishes invited and submitted reviews; peer-reviewed original articles about clinical topics and basic research as well as news and views and guidelines and position statements from all sub-specialties in gynecology and obstetrics.
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