摘要
Abstract
Objective: To investigate the effect of combined laparoscopic hysterectomy and pelvic lymphadenectomy on operation time and postoperative rehabilitation of patients with early cervical cancer. Methods: Seventy-four cases of early cervical cancer were randomly divided into a control group (n=37) and a study group (n=37) in our hospital from February 2014 to August 2016. The study group was treated with laparoscopic radical hysterectomy and pelvic lymph node dissection. The control group was treated with open hysterectomy and pelvic lymphadenectomy. All the cases were followed up for 3 to 6 months after operation. Two groups of surgery (surgical duration, intraoperative blood loss, number of lymph node dissection), postoperative rehabilitation (anal exhaust time, defecation time, extubation time, antibiotics time, hospitalization time), quality of life score [Functional Assessment of Cancer Therapy-General (FACT-G)] of 3 and 6 months at admission and after surgery, and the complication rate were statistically compared. Results: The duration of the study group was longer than that of the control group, the number of blood loss was less than that of the control group, and the number of lymph node dissection was more than that of the control group (P＜0.05). The time of anal exhaust, anal defecation time, extubation time, antibiotic application time and hospital stay in the study group were less than those of the control group (P＜0.05). There was no significant difference in FACT-G scores between the two groups before operation (P＞0.05), and the scores of FACT-G in the study group were higher than those in the control group at 3 months and 6 months after the operation (P＜0.05). Complication rates between the two groups were compared. The study group 5.41％ (2/37) was lower than that of the control group 24.32％ (9/37) (P＜0.05). Conclusion: Laparoscopic radical hysterectomy combined with pelvic lymphadenectomy is effective in the treatment of early cervical cancer. It can effectively reduce the surgical trauma, promote the rehabilitation of the postoperative organism function, improve the quality of life of the patients, and have fewer complications with higher safety.关键词
腹腔镜下广泛子宫切除术/盆腔淋巴结清扫术/早期宫颈癌/手术时长/术后康复Key words
laparoscopic extensive hysterectomy/pelvic lymph node dissection/early cervical cancer/operation duration/postoperative rehabilitation
