原著論文
子宮頸癌に対する腹腔鏡下広汎子宮全摘出術および腹式広汎子宮全摘出術症例の比較検討
キーワード:
early stage cervical cancer,
laparoscopic radical hysterectomy,
abdominal radical hysterectomy
2019 年 35 巻 2 号 p. 209-214
詳細
2019 年 35 巻 2 号 p. 209-214
Objective: We compared the clinical outcomes of total laparoscopic radical hysterectomy (LRH) with abdominal radical hysterectomy (ARH) performed in women with cervical cancer.
Methods: Between November 2015 and February 2018, 19 women with cervical cancer (Stage IB1 or IIA1) underwent LRH, and 40 women with cervical cancer (Stage IB1 or IIA1) underwent ARH in our department. Patients' background, surgical outcomes, perioperative complications, and postoperative course were retrospectively compared between the groups. Statistical analysis was performed using the Student's t-test, Wilcoxon test, and the Fisher exact test.
Results: The operative time was significantly longer (587 vs. 422 min, p<0.0001) and estimated blood loss was significantly lesser (417 vs. 1077 mL, p<0.0001) in the LRH group. No statistically significant intergroup difference was observed in the number of lymph nodes removed, surgical margin, and perioperative complications. Median follow-up was 16 and 23 months, respectively, and recurrence occurred in 1 patient in each group.
Conclusion: Although this study included a limited number of patients and was a short-term study, LRH was safely performed in women with cervical cancer. Notably, no intergroup difference was observed in short-term outcomes. We will continue observation to determine the long-term prognosis in these women.
