中华医学杂志（英文版）2011，Vol.124Issue(12)：1807-1812,6.DOI:10.3760/cma.j.issn.0366-6999.2011.12.009
Nerve plane-sparing radical hysterectomy: a simplified technique of nerve-sparing radical hysterectomy for invasive cervical cancer
Nerve plane-sparing radical hysterectomy: a simplified technique of nerve-sparing radical hysterectomy for invasive cervical cancer
LI Bin 1LI Wei 1SUN Yang-chun 1ZHANG Rong 1ZHANG Gong-yi 1YU Gao-zhi 1WU Ling-ying1
作者信息
摘要
Abstract
Background In order to simplify the complicated procedure of nerve-sparing radical hysterectomy, a novel technique characterized by integral preservation of the autonomic nerve plane has been employed for invasive cervical cancer. The objective of this study was to introduce the nerve plane-sparing radical hysterectomy technique and compare its efficacy and safety with that of nerve-sparing radical hysterectomy.Methods From September 2006 to August 2010, 73 consecutive patients with International Federation of Gynecology and Obstetrics stage IB to IIA cervical cancer underwent radical hysterectomy with two different nerve-sparing approaches. Nerve-sparing radical hysterectomy was performed for the first 16 patients (nerve-sparing radical hysterectomy group). The detailed autonomic nerve structures were identified and separated by meticulous dissection during this procedure. After January 2008, the nerve plane-sparing radical hysterectomy procedure was developed and performed for the next 57 patients (nerve plane-sparing radical hysterectomy group). During this modified procedure, the nerve plane (meso-ureter and its extension) containing most of the autonomic nerve structures was integrally preserved. The patients' clinicopathologic characteristics, surgical parameters, and outcomes of postoperative bladder function were compared between the two groups.Conclusion Nerve plane-sparing radical hysterectomy Is a reproducible and simplified modification of nerve-sparing radical hysterectomy, and may be preferable to nerve-sparing radical hysterectomy for treatment of early-stage invasive cervical cancer.关键词
cervical cancer/radical hysterectomy/pelvic autonomic nerves/pelvic nerve plane/bladder functionKey words
cervical cancer/radical hysterectomy/pelvic autonomic nerves/pelvic nerve plane/bladder function引用本文复制引用
LI Bin,LI Wei,SUN Yang-chun,ZHANG Rong,ZHANG Gong-yi,YU Gao-zhi ,WU Ling-ying..Nerve plane-sparing radical hysterectomy: a simplified technique of nerve-sparing radical hysterectomy for invasive cervical cancer[J].中华医学杂志（英文版）,2011,124(12):1807-1812,6.
