子宮体癌に対する腹腔鏡下手術の導入  [in Japanese] Introduction of total laparoscopic hysterectomy for endometrial cancer  [in Japanese]

Access this Article

Search this Article

Author(s)

    • 吉田 光紗 Yoshida Misa
    • 豊橋市民病院 産婦人科 Department of Obstetrics and Gynecology, Toyohashi Municipal Hospital, Toyohashi Municipal Hospital
    • 池田 芳紀 Ikeda Yoshiki
    • 豊橋市民病院 産婦人科 Department of Obstetrics and Gynecology, Toyohashi Municipal Hospital, Toyohashi Municipal Hospital
    • 河合 要介 Kawai Yosuke
    • 豊橋市民病院 産婦人科 Department of Obstetrics and Gynecology, Toyohashi Municipal Hospital, Toyohashi Municipal Hospital
    • 高野 みずき Takano Mizuki
    • 豊橋市民病院 産婦人科 Department of Obstetrics and Gynecology, Toyohashi Municipal Hospital, Toyohashi Municipal Hospital
    • 岡田 真由美 Okada Mayumi
    • 豊橋市民病院 産婦人科 Department of Obstetrics and Gynecology, Toyohashi Municipal Hospital, Toyohashi Municipal Hospital
    • 安藤 寿夫 Ando Hisao
    • 豊橋市民病院 産婦人科 Department of Obstetrics and Gynecology, Toyohashi Municipal Hospital, Toyohashi Municipal Hospital
    • 河井 通泰 Kawai Michiyasu
    • 豊橋市民病院 産婦人科 Department of Obstetrics and Gynecology, Toyohashi Municipal Hospital, Toyohashi Municipal Hospital
    • 梅村 康太 Umemura Kota
    • 豊橋市民病院 産婦人科 Department of Obstetrics and Gynecology, Toyohashi Municipal Hospital, Toyohashi Municipal Hospital
    • 植草 良輔 Uekusa Ryosuke
    • 豊橋市民病院 産婦人科 Department of Obstetrics and Gynecology, Toyohashi Municipal Hospital, Toyohashi Municipal Hospital
    • 國島 温志 Kunishima Atsushi
    • 豊橋市民病院 産婦人科 Department of Obstetrics and Gynecology, Toyohashi Municipal Hospital, Toyohashi Municipal Hospital
    • 松尾 聖子 Matsuo Seiko
    • 豊橋市民病院 産婦人科 Department of Obstetrics and Gynecology, Toyohashi Municipal Hospital, Toyohashi Municipal Hospital
    • 甲木 聡 Katsuki Satoru
    • 豊橋市民病院 産婦人科 Department of Obstetrics and Gynecology, Toyohashi Municipal Hospital, Toyohashi Municipal Hospital
    • 藤田 啓 Fujita Kei
    • 豊橋市民病院 産婦人科 Department of Obstetrics and Gynecology, Toyohashi Municipal Hospital, Toyohashi Municipal Hospital
    • 矢吹 淳司 Yabuki Atsushi
    • 豊橋市民病院 産婦人科 Department of Obstetrics and Gynecology, Toyohashi Municipal Hospital, Toyohashi Municipal Hospital
    • 北見 和久 Kitami Kazuhisa
    • 豊橋市民病院 産婦人科 Department of Obstetrics and Gynecology, Toyohashi Municipal Hospital, Toyohashi Municipal Hospital

Abstract

<p><b>Objective:</b> Traditionally, laparotomy has been the main surgical treatment in gynecologic oncology. However, the recent development of various devices and the results of randomized controlled studies have enabled the introduction of total laparoscopic hysterectomy for early-stage endometrial cancer. The aim of this single-center study was to compare laparotomy and laparoscopy for endometrial cancer.</p><p><b>Patients:</b> We analyzed a cohort of 68 patients who were diagnosed with Grade 1-2 endometrioid adenocarcinoma of stage IA and underwent laparotomy (n = 35) or laparoscopy (n = 33) at our hospital between January 2012 and December 2015. </p><p><b>Results:</b> The estimated blood loss and the duration of hospital stay were significantly lower, and the operating time including lymphadenectomy was significantly shorter in the laparoscopy group than in the laparotomy group. There was no significant difference between the groups with regard to the operating time without lymphadenectomy. No blood transfusions were required, and there were no severe complications, deaths, or recurrences in the laparoscopy group.</p><p><b>Conclusion:</b> Even in our hospital, which started providing laparoscopic surgeries recently, laparoscopic surgery for early-stage endometrial cancer was performed safely. One of the greatest benefits of laparoscopic surgery is the magnification of the operative fields and performing surgeries that require a high level of precision. Therefore, laparoscopic surgery seems to be suitable for patients requiring surgery in gynecologic oncology.</p>

Journal

  • JAPANESE JOURNAL OF GYNECOLOGIC AND OBSTETRIC ENDOSCOPY

    JAPANESE JOURNAL OF GYNECOLOGIC AND OBSTETRIC ENDOSCOPY 32(1), 190-196, 2016

    JAPAN SOCIETY OF GYNECOLOGIC AND OBSTETRIC ENDOSCOPY AND MINIMALLY INVASIVE THERAPY

Codes

  • NII Article ID (NAID)
    130005303415
  • Text Lang
    JPN
  • ISSN
    1884-9938
  • Data Source
    J-STAGE 
Page Top