在妇科肿瘤微创手术中使用内镜下缝合器进行封闭性结肠切开术预防肿瘤溢出的前瞻性研究。

IF 1.4 4区医学 Q3 SURGERY JSLS : Journal of the Society of Laparoendoscopic Surgeons Pub Date : 2023-07-01 DOI:10.4293/JSLS.2023.00019

Dipak Limbachiya, Rajnish Tiwari, Rashmi Kumari

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引用次数: 0

摘要

背景和目的：这是一项前瞻性试验，在子宫内膜癌和宫颈癌的病例中，应用内镜缝合器在阴道切开术前进行阴道闭合，通过微创手术进行管理，并适当考虑其手术技术和短期肿瘤学随访结果。方法：这是一项在2020年3月1日至2022年12月31日期间完成的前瞻性单中心研究。本研究共招募了62名患者（43例子宫内膜癌和19例宫颈癌）。1和2岁时的肿瘤生存结果年记录在案。结果：术中无严重的肠、尿或血管损伤。没有一个病例需要在手术期间转为剖腹手术。我们的研究有8名子宫内膜癌患者（8/43）和7名宫颈癌患者（7/19），他们完成了24 随访数月，迄今无复发。结论：在腹腔镜治疗妇科肿瘤的病例中，应用内镜下吻合器进行封闭性阴道切开术以防止肿瘤溢出是一个未来的步骤。

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Prospective Study on the Use of Endo-Stapler for Enclosed Colpotomy to Prevent Tumor Spillage in Gynecologic Oncology Minimally Invasive Surgeries.

Background and objectives: This is a prospective trial of the endo-stapler application for vaginal closure before colpotomy in cases of carcinoma endometrium and carcinoma cervix, managed by minimally invasive surgery with due consideration of its surgical technique and short-term oncologic follow-up outcomes.

Methods: This was a prospective, single center study completed between March 1, 2020 and December 31, 2022. A total of 62 patients (43 cases of carcinoma endometrium and 19 cases of carcinoma cervix) were recruited for the study. Oncologic survival outcomes at the end of 1 and 2 years were documented.

Results: There were no major intraoperative bowel, urinary, or vascular injuries. None of the cases required conversion to laparotomy peroperatively. Our study had 8 patients with carcinoma endometrium (8/43) and 7 patients of carcinoma cervix (7/19) who have completed 24 months of follow-up without any recurrence to date.

Conclusion: Endo-stapler application for enclosed colpotomy to prevent tumor spillage is a futuristic step in gynecologic oncology cases managed by laparoscopy.

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来源期刊

JSLS : Journal of the Society of Laparoendoscopic Surgeons SURGERY-

CiteScore

2.40

自引率

0.00%

发文量

审稿时长

4-8 weeks

期刊介绍： JSLS, Journal of the Society of Laparoscopic & Robotic Surgeons publishes original scientific articles on basic science and technical topics in all the fields involved with laparoscopic, robotic, and minimally invasive surgery. CRSLS, MIS Case Reports from SLS is dedicated to the publication of Case Reports in the field of minimally invasive surgery. The journals seek to advance our understandings and practice of minimally invasive, image-guided surgery by providing a forum for all relevant disciplines and by promoting the exchange of information and ideas across specialties.