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在患有子宫内膜癌的患者中,经阴道自然孔透光内镜手术 (VNOTES) 逆皮质哨兵淋巴结BIOPSY与常规腹腔镜相比,在患有子宫内膜癌的患者中

Cihan Comba¹, Sema Karakas², Sakir Volkan Erdogan³

¹Department of Gynecologic Oncology, Istanbul Aydin University VM Medical Park Hospital, Istanbul, Turkey.

Surgical oncology

|July 11, 2024

概括

阴道注意事项哨兵淋巴结解剖提供了类似的手术结果,以传统的腹腔镜治疗子宫内膜癌,减少术后疼痛和更短的住院时间.

科学领域:

妇科瘤学妇科瘤学
最少侵入性的手术
手术创新在外科创新.

背景情况:

子宫内膜癌的治疗需要通过哨兵淋巴结活检进行准确的分期.
阴道NOTES (自然孔透光内镜手术) 介绍了妇科手术的新方法.

研究的目的:

评估VNOTES在子宫内膜癌患者的哨戒淋巴结解剖的可行性和结果.
为了比较VNOTES SLNB与传统的腹腔镜SLNB.

主要方法:

38名接受常规腹腔镜SLNB治疗的患者和19名接受VNOTES逆肌SLNB治疗的患者的回顾性比较.
两组都接受了子宫切除术和双边沙卵巢切除术 (BSO).
手术步骤和结果被记录和分析.

主要成果:

在VNOTES和常规腹腔镜之间,在手术时间,血液损失,淋巴结产量或瘤参数方面没有发现显著差异.
在VNOTES组中,术后疼痛得分明显较低.
在VNOTES群体体验到较短的住院时间.

结论:

阴道注意事项哨兵淋巴结剖析是治疗子宫内膜癌的常规腹腔镜的可行替代方案.
VNOTES可以改善术后恢复,包括减少疼痛和缩短住院时间.

关键词:

这是子宫内膜癌的癌症.在SLN和淋巴切除术中.哨兵淋巴结活组织检查外科手术手术手术这是子宫癌的原因.在VNOTES的VNOTES.

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