On laparoscopic surgery for endometrial cancer clinical observation of 12 cases.docVIP

 PAGE \* MERGEFORMAT 7 On laparoscopic surgery for endometrial cancer clinical observation of 12 cases Keywords:] Laparoscopy clinical observation of endometrial cancer Endometrial cancer is the most common female reproductive tract is one of the three malignant tumors, accounting for 7% of female body cancer, cancer of the female reproductive tract of 20% to 30% incidence in recent years, the rise worldwide , second only to cervical cancer. The 5-year survival rate has decreased year by year [1] .20 century since the 90s, along with improvements in laparoscopic equipment, the operation of continuous skilled laparoscopic treatment of gynecological malignancies used year after year . domestic related news, early laparoscopic surgery for uterine malignant tumor efficacy and safety were positive [2]. Court of 12 cases of early endometrial cancer patients with laparoscopic hysterectomy and pelvic lymph node dissection, postoperative results were satisfactory. Are reported below. Subjects and methods 1. Target: June 2007 ~ October 2008 were treated in our hospital during the 12 patients with endometrial cancer, laparoscopic surgery. The average age of 53.2 years (41 to 75 years), hypertension in 4 cases, while 2 patients with hypertension and diabetes. Preoperative all cases confirmed by pathological examination, were I in patients with endometrial adenocarcinoma. 2. Surgical methods: (1) preoperative preparation and anesthesia. Preoperative vaginal washing 3 d, cleaning the umbilical, preoperative cleansing enema. Intubation intravenous anesthesia, intraoperative continuous ECG and blood oxygen saturation testing. position taken by bladder stones, surgery to take the first high-foot low, house hold devices placed cup, swing the uterus in order to facilitate surgical procedures. (2) take cell inspection. surgical skin incision on the umbilical margin of 10 mm, Veress needle puncture to determine after laparoscopic access to the formation of CO2 gas