CAJ | 학술논문

腹腔镜在妇科肿瘤领域的应用范围越来越广。循证医学已证明腹腔镜全面分期手术可作为子宫内膜癌的理想术式，该手术与开腹手术的肿瘤结局没有差异，并且比开腹手术获益更多。许多回顾性研究已证实了早期宫颈癌的腹腔镜根治性子宫切除术安全有效，大规模的随机对照试验（RCT）正在进行中。越来越多的肿瘤中心尝试卵巢癌的腹腔镜肿瘤细胞减灭术，已初步证实其安全性和有效性。单孔腹腔镜手术以美观程度更高的优势开始应用于妇科肿瘤手术。越来越多的证据表明腹腔镜手术不改变妇科肿瘤患者的预后，而且创伤小、并发症少，提高了患者的生存质量。腹腔镜手术在妇科肿瘤中占据越来越重要的地位，使越来越多的妇科肿瘤患者受益。
복강경재부과종류영역적응용범위월래월엄。순증의학이증명복강경전면분기수술가작위자궁내막암적이상술식，해수술여개복수술적종류결국몰유차이，병차비개복수술획익경다。허다회고성연구이증실료조기궁경암적복강경근치성자궁절제술안전유효，대규모적수궤대조시험（RCT）정재진행중。월래월다적종류중심상시란소암적복강경종류세포감멸술，이초보증실기안전성화유효성。단공복강경수술이미관정도경고적우세개시응용우부과종류수술。월래월다적증거표명복강경수술불개변부과종류환자적예후，이차창상소、병발증소，제고료환자적생존질량。복강경수술재부과종류중점거월래월중요적지위，사월래월다적부과종류환자수익。
Laparoscopic surgery has been more and more widely utilized in the field of gynecological oncology. It was confirmed that laparoscopic staging was the optimal surgery for endometrial cancer with evidence-based medicine, the oncological results of laparoscopic surgery for endometrial cancer is as good as an open approach with many benefits. Many retrospective studies conclude that a laparoscopic approach to radical hysterectomy for the treatment of early stage cervical cancer is feasible and safe, large-scale randomized clinical trial (RCT) is being performed. More and more tumor centers try to performed the laparoscopic cytoreduction of ovarian cancer ,its feasibility and safety was preliminary confirmed. Single incision laparoscopic surgery started to used in gynecological surgery with higher advantage of cosmetic benefit. More and more evidence turned to indicate laparoscopic surgrey improved qualities of life of patient with less trauma and complications and without compromising oncologic outcomes. Laparoscopic operations are more and more important in gynecological oncology, and make more benefit in patients with gynecologic tumor.