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1990年2月～1994年1月,对48例Ⅰ期子宫内膜癌患者行腹腔镜手术。 腹腔镜手术时患者取膀胱截石位。常规Foly氏导尿管留置导尿,手术有困难时插举宫器,耻骨上置3个Trocat,首先观察腹膜和盆腹腔,常规腹水找癌细胞,并确定转移范围及双附件情况。手术时间因腹腔镜技术熟练程度而不同,且包括打开阴道穹窿、取出组织及关闭残端时间。行髂外淋巴结切除时,先提起圆韧带,平行于髂外血管打开腹膜,如同剖腹手术,内侧为脐动脉,外侧为髂外静脉和盆壁,深部为
From February 1990 to January 1994, laparoscopic surgery was performed on 48 patients with stage I endometrial cancer. During laparoscopic surgery, the patient took a bladder lithotomy position. Conventional Foly’s catheters were indwelled with catheterization. When the operation was difficult, the uterine organs were inserted and the Tropub was placed on the pubic bone. Firstly, the peritoneum and pelvic cavity were observed. Routine ascites was used to find cancer cells, and the extent of metastasis and double attachments were determined. The duration of the operation varies according to the laparoscopic technique and includes opening the vaginal fistula, removing the tissue, and closing the stump. When the external iliac lymph node is removed, the round ligament is lifted first, and the peritoneum is opened parallel to the external iliac vessels. Like the laparotomy, the medial side is the umbilical artery, the lateral external iliac vein and the pelvic wall, and the deep