子宫内膜癌手术治疗的研究进展

子宫内膜癌是妇科常见恶性肿瘤之一,手术是其主要的治疗方式。尽管开腹手术是治疗子宫内膜癌的传统方式,但随着医学科技的不断发展以及人们对术后生活质量要求的提高,妇科肿瘤的外科治疗方式也随之发生了革命性的变化。从传统开腹手术、腹腔镜手术、单孔腔镜技术,到2005年美国FDA批准应用于妇科手术的达芬奇机器人手术系统,子宫内膜癌的手术治疗方式也有了更多的选择。与传统开腹手术相比,微创手术凭借其创伤小、恢复快等优点,在子宫内膜癌的应用越来越广泛,但临床应用时间较短,仍需大样本多中心的长期随访研究来证实其安全性和有效性。本文主要围绕以上几种手术方式治疗子宫内膜癌的最新观点及研究进展进行综述。

Progress of the Operation Technologies for Endometrial Cancer

ABSTRACT: Endometrial cancer (EC) is one of the most common malignancies of gynecology, which is mainly treated by surgical resection. Laparotomy is the conventional method of treatment for EC; however, the development of medical technology and the im- provement of patients'' requirement on the quality of life challenge the role of laparotomy in the treatment of EC. From the laparotomy to the advents of laparoscopy and laparoendoscopic single-site, then to the approval of robotic technology applying to gynecological tumor in 2005 by FDA, more options could be chosen for the treatment of EC. Compared with conventional laparotomy, the use of minimally invasive surgery continually rising due to its relatively less trauma and quicker recovery; however, large multicenter studies with long-term follow-up are needed to validate its safety and efficacy for its short application to clinical practice. Present study mainly re- viewed the current perspective and progress in the surgical treatments of EC.