一、病例摘要患者73岁,因“绝经17年,阴道出血2周”于2014年4月1日就诊于海军总医院。2014年4月4日行宫腔镜检查+分段诊刮术,术后病理回报“低分化腺癌”。于2014年4月9日在全麻下行腹腔镜下全子宫+双附件切除+盆腔淋巴结切除术,因患者肥胖(31.25/BMI),且合并多种内科疾患(高血压病史10年,糖尿病史2年),术前与家属 First, the summary of the case The patient was 73 years old, due to “17 years of menopause, vaginal bleeding for 2 weeks ” on April 1, 2014 treatment at the Navy General Hospital. April 4, 2014 hysteroscopy + segmental curettage, postoperative pathological findings “poorly differentiated adenocarcinoma ”. On April 9, 2014, under general anesthesia, laparoscopic total hysterectomy + double-attachment excision + pelvic lymph node dissection was performed. The patients were obese (31.25 / BMI) and had multiple medical conditions (history of hypertension 10 years, history of diabetes 2 years), preoperative and family members