河北医学Issue(3)：398-401,4.DOI:10.3969/j.issn.1006-6233.2015.03.015
腹腔镜下完成宫颈癌保留神经平面广泛子宫切除术的疗效及可行性探讨
Feasibility and Effect of Laparoscopy in the Modified Nerve Plane-sparing Radical Hysterectomy of Cervical Cancer
摘要
Abstract
Objective:To assess the feasibility and safety of laparoscopic nerve plane -sparing radical hysterectomy(NPSRH) of cervical cancer and compare with that of open NPSRH .Method:Ninety-four pa-tients with FIGO stage I b 1-Ⅱa2 cervical cancer were enrolled in the study .Forty-four patients underwent laparoscopic NPSRH.During the operation,the pelvic autonomic nerve plane which is directly underneath the ureter was integrally preserved by dissecting the pelvic spaces laparoscopically .The vessels around the nerve plane were controlled by Hem-o-lok polymer clips.Fifty patients underwent open NPSRH without special in-struments .The clinical ,pathological and surgery-related parameters were compared between the two groups . Moreover ,postoperative short-term bladder function of the patients was analyzed .Result:The mean duration of surgery in the laparoscopic group was significantly longer [(314.9±68.6)min vs.( 273.5±58.6)min] (P<0.05).But the laparoscopic group had less blood loss [(187.8±64.1)mL vs.(474.6±67.3)mL,P<0.05] and blood transfusion rate [6.8%(3/44)vs.49.5%(24/50),P<0.05].There was no significant difference re-garding the proportion of patients who firstly passed the post-void residual urine volume(PVR)test(P>0. 05).The median time of catheterization between the two groups were also comparable (P>0.05).However,the postoperative hospital stay was significantly shorter in the laparoscopic group [ median postoperative hospital stay(9.1±2.0)days vs.(11.3±3.1)days,P<0.05].Conclusion:Laparoscopic NPSRH is feasible .It seems to be comparable with open NPSRH in terms of preserving pelvic nerve function ,but is more favorable in terms of blood loss and postoperative recovery .关键词
腹腔镜手术/宫颈癌/子宫切除术/自主神经Key words
Uterine cervical neoplasms/Hysterectomy/Laporoscopy/Autonomic pathways引用本文复制引用
王卉,梁培琴..腹腔镜下完成宫颈癌保留神经平面广泛子宫切除术的疗效及可行性探讨[J].河北医学,2015,(3):398-401,4.基金项目
广东省科技计划项目， （）
