文章：

波兰子宫内膜癌手术治疗方法的现实演变

Real Life Evolution of Surgical Approaches in the Management of Endometrial Cancer in Poland

原文发布日期：11 August 2025

DOI: 10.3390/cancers17162626

类型: Article

开放获取: 是

英文摘要：

Objective:The primary objective of this study was to evaluate the evolution of surgical approaches in the management of endometrial cancer in Polish tertiary referral hospitals, comparing the use of minimally invasive surgery (MIS) and laparotomy in 2023 versus 2013.Methods:This retrospective observational study analyzed data from tertiary referral centers in Poland. All surgeries performed for apparently early-stage endometrial cancer in 2013 and 2023 were included.Results:A total of 1062 patients were analyzed, with 417 undergoing operations in 2013 and 640 in 2023. In 2013, 92.6% (386/417) of patients underwent laparotomy. By 2023, 80.1% (513/640) of patients were treated using minimally invasive approaches, including laparoscopy (56.2%, 362/640), robotic-assisted laparoscopy (21.7%, 139/640), and vaginal surgery (1.9%, 12/640). No conversions to laparotomy were recorded in 2013. In 2023, 22 conversions occurred—21 in the laparoscopy group (5.8%, 21/362) and one in the vaginal surgery group (8.3%, 1/12). No conversions were reported in the robotic-assisted group. Intraoperative complications were observed in 2.2% (8/362) of laparoscopic cases, and postoperative complications in 4.4% (16/362). In the robotic-assisted group, one intraoperative complication (0.7%) was reported, with no postoperative complications.Conclusions:Over the past decade, there has been a significant shift in the surgical management of endometrial cancer in Poland, with a growing preference for minimally invasive surgery (MIS). The rate of conversion from MIS to laparotomy remains below 6%. Robotic-assisted laparoscopic surgery may offer additional benefits, particularly for obese patients.

摘要翻译： 

目的：本研究旨在评估波兰三级转诊医院子宫内膜癌手术方式的演变，比较2023年与2013年微创手术（MIS）与开腹手术的应用情况。 方法：本回顾性观察性研究分析了波兰三级转诊中心的数据，纳入了2013年和2023年所有针对临床早期子宫内膜癌实施的手术。 结果：共分析了1062例患者，其中2013年417例，2023年640例。2013年，92.6%（386/417）的患者接受了开腹手术。至2023年，80.1%（513/640）的患者接受了微创手术治疗，包括腹腔镜手术（56.2%，362/640）、机器人辅助腹腔镜手术（21.7%，139/640）和经阴道手术（1.9%，12/640）。2013年无中转开腹病例记录。2023年共发生22例中转开腹——腹腔镜组21例（5.8%，21/362），经阴道手术组1例（8.3%，1/12）。机器人辅助组无中转开腹报告。腹腔镜组术中并发症发生率为2.2%（8/362），术后并发症为4.4%（16/362）。机器人辅助组报告1例术中并发症（0.7%），无术后并发症。 结论：过去十年间，波兰子宫内膜癌的手术治疗方式发生了显著转变，微创手术日益受到青睐。微创手术中转开腹率保持在6%以下。机器人辅助腹腔镜手术可能具有额外优势，尤其对于肥胖患者。

原文链接：

Real Life Evolution of Surgical Approaches in the Management of Endometrial Cancer in Poland