Effect of pelvic and low paraaortic lymph node dissection on the safety and prognosis on the international federation of gynecology and obstetrics stage Ⅰ endometrioid carcinoma
Objective To investigate the effect of pelvic and low paraaortic lymph node dissection on the efficacy and prognosis on the international federation of gynecology and obstetrics(FIGO)stage Ⅰendometrioid carcinoma patients.Methods A retrospective analysis was conducted on the clinical data of 81 patients with early endometrioid carcinoma who underwent surgical treatment at No.910th Hospital of the Joint Service Support Force of the People's Liberation Army from January 2018 to January 2020.According to different lymphadenectomy methods,patients were divided into a pelvic lymphadenectomy(PLD)group(n=44)and a low para-aortic lymph node dissection(PALD)+PLD group(n=37).The surgery-related data,recurrence rate within 1 year,overall survival rate at 3 years,and complications condition in both groups were compared.Results The operation time in the PALD+PLD group was significantly longer than that in the PLD group,and the numbers of resected lymph nodes and positive lymph nodes were significantly higher than those in the PLD group(P＜0.05).There was no significant difference in the incidence of intraoperative and postoperative complications between the two groups.The recurrence rate within 1 year was significantly different between the two groups(P＜0.05).There was no significant difference in the overall survival rate at 3 years between the two groups(P＞0.05).Conclusions Pelvic and low paraaortic lymph node dissection can reduces the recurrence rate in FIGO stage Ⅰ endometrioid carcinoma patients without increasing the incidence of surgical complications.
万方数据
维普
