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(Received for publication January 12, 2023)
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S. Kurihara et al.
（和文抄録）
当院（一般的な総合病院）における子宮体癌に対する
腹腔鏡下手術の検討
松山赤十字病院 産婦人科
栗 原 秀 一，平 山 亜 美，西 野 由 衣，田 渕 景 子，池 田 隆 史，駒 水 達 哉，
中 野 志 保，瀬 村 肇 子，髙 杉 篤 志，信 田 絢 美，梶 原 涼 子，本 田 直 利
我が国では 2014 年に子宮体癌に対する腹腔鏡下手術が保険適応となった．一般的な総合病院での
本術式の安全性，妥当性に関して評価をおこなうことを目的として本研究を実施した．術前の評価で
IA 期と推定され，術前の病理診断が G1 あるいは G2 の類内膜癌であった 51 例（腹腔鏡下手術：35 例，
開腹手術：16 例）に関して後方視的検討を加えた．周術期合併症の発生率は腹腔鏡下手術で 8.5％，
開腹手術で 31.2％であり，重篤な合併症はみられなかった．腹腔鏡下手術を施行した 2 例のみに再発
がみられたが，開腹術施行群と比較し無再発生存率に有意な差はみられなかった．子宮体癌に対する
腹腔鏡下手術は一般的な総合病院においても安全で妥当な術式であると思われる．
キーワード：子宮体癌，腹腔鏡下手術，低侵襲手術，医療施設別手術件数（Hospital surgical volume）
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