CAJ | 학술논문

由于妇科恶性肿瘤患者相对良性妇科病患者年龄较大、手术过程复杂、手术时间长，恶性肿瘤又存在创面种植、复发等，不少医生对妇科恶性肿瘤施行微创手术的围手术期及肿瘤预后的安全性存在顾虑。目前在妇科恶性肿瘤中使用微创手术的比例远不及在妇科良性疾病中的比例。但大量文献报道，在子宫颈癌、子宫内膜癌、卵巢癌等妇科恶性肿瘤中行腹腔镜下根治性手术，不论是在围手术期的并发症发生率还是肿瘤的预后，与传统的开腹手术比较均相似甚至更优。因此，熟练掌握腹腔镜手术技巧的医生在妇科恶性肿瘤治疗中施行微创根治性手术是可行、合理和安全的。
유우부과악성종류환자상대량성부과병환자년령교대、수술과정복잡、수술시간장，악성종류우존재창면충식、복발등，불소의생대부과악성종류시행미창수술적위수술기급종류예후적안전성존재고필。목전재부과악성종류중사용미창수술적비례원불급재부과량성질병중적비례。단대량문헌보도，재자궁경암、자궁내막암、란소암등부과악성종류중행복강경하근치성수술，불론시재위수술기적병발증발생솔환시종류적예후，여전통적개복수술비교균상사심지경우。인차，숙련장악복강경수술기교적의생재부과악성종류치료중시행미창근치성수술시가행、합리화안전적。
Patients with gynecological malignant tumor are relatively older than patients with benign gynecological diseases. The operation process for gynecological cancers is more complicated and need longer operation time than for benign gynecological diseases. Malignant tumor has possibility of wound planting and recurrence. Many doctors worry about peri-operation complications and the prognosis of patients with gynecologic cancers received minimally invasive operation. At present, the minimally invasive operation in gynecological malignant tumor was far less than in the benign gynecological diseases. But a lot of literature shows that in cervical cancer, endometrial cancer, ovarian cancer and other gynecological malignant tumors, the prognosis and peri-operation complication rate in patients treated with laparoscopic radical operation are similar or even better than patients treated with traditional open operation. In conclusion, minimally invasive treatment of gynecologic malignant tumor by doctors with laparoscopic operation skills is feasible, reasonable and safe.